Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $114.80 / $556.28	Professional		$62.10	$114.80	$556.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $252.38	Professional		$100.98	$100.98	$252.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $140.75 / $182.97	Professional		$87.26	$140.75	$182.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $168.82 / $188.28 / $188.28	Facility		$168.82	$188.28	$188.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $134.96 / $202.44	Professional		$107.21	$134.96	$202.44
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $96.19 / $112.97	Professional		$75.31	$96.19	$112.97