Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $85.84 / $85.84	Facility		$85.84	$85.84	$85.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $160.06 / $1,025.25	Professional		$85.84	$160.06	$1,025.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $191.33	Professional		$128.34	$175.81	$191.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.65 / $212.35 / $276.05	Professional		$131.65	$212.35	$276.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.70 / $284.06 / $284.06	Facility		$254.70	$284.06	$284.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $203.62 / $305.42	Professional		$161.75	$203.62	$305.42
United Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $131.77 / $159.91	Professional		$102.15	$131.77	$159.91