Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $104.44 / $104.44	Facility		$104.44	$104.44	$104.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $104.44 / $1,247.50	Professional		$104.44	$104.44	$1,247.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $229.14	Professional		$156.91	$214.95	$229.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $148.69 / $193.72	Professional		$92.18	$148.69	$193.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.18 / $198.18 / $236.51	Facility		$198.18	$198.18	$236.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $177.59 / $224.54	Professional		$142.88	$177.59	$224.54
United Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $161.78 / $161.78	Professional		$124.29	$161.78	$161.78