Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $84.01 / $84.01	Facility		$84.01	$84.01	$84.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $122.77 / $878.12	Professional		$84.01	$122.77	$878.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $203.38	Professional		$139.27	$190.78	$203.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $214.58 / $278.95	Professional		$133.03	$214.58	$278.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.38 / $287.04 / $287.04	Facility		$257.38	$287.04	$287.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $205.75 / $308.63	Professional		$163.44	$205.75	$308.63
United Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $130.13 / $156.50	Professional		$99.98	$130.13	$156.50