Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $97.03 / $97.03	Facility		$97.03	$97.03	$97.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $137.18 / $1,159.01	Professional		$97.03	$137.18	$1,159.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $225.13	Professional		$159.56	$218.57	$225.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $222.36 / $289.06	Professional		$137.86	$222.36	$289.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $297.45 / $297.45	Facility		$266.70	$297.45	$297.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $213.21 / $319.82	Professional		$169.38	$213.21	$319.82
United Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $148.96 / $180.76	Professional		$115.48	$148.96	$180.76