Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $64.42 / $64.42	Facility		$64.42	$64.42	$64.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $68.31 / $577.13	Professional		$64.42	$68.31	$577.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $147.24	Professional		$104.35	$142.94	$147.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $189.73 / $246.64	Professional		$117.63	$189.73	$246.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $227.58 / $253.81 / $253.81	Facility		$227.58	$253.81	$253.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $181.93 / $272.89	Professional		$144.53	$181.93	$272.89
United Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $99.79 / $143.16	Professional		$76.66	$99.79	$143.16