Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $97.89 / $97.89	Facility		$97.89	$97.89	$97.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $117.40 / $991.87	Professional		$97.89	$117.40	$991.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $202.45	Professional		$138.63	$189.91	$202.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $241.95 / $314.53	Professional		$150.00	$241.95	$314.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $290.20 / $323.66 / $323.66	Facility		$290.20	$323.66	$323.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $232.00 / $348.00	Professional		$184.30	$232.00	$348.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $151.62 / $178.08	Professional		$136.90	$151.62	$178.08