Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $70.92 / $599.20	Professional		$61.48	$70.92	$599.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $139.36 / $181.16	Professional		$86.40	$139.36	$181.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $186.43 / $186.43	Facility		$167.16	$186.43	$186.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $133.63 / $200.45	Professional		$106.16	$133.63	$200.45
United Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $95.24 / $121.94	Professional		$74.56	$95.24	$121.94