Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $128.93	Facility		$128.93	$128.93	$128.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $178.77 / $1,539.99	Professional		$128.93	$178.77	$1,539.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $466.50	Professional		$184.40	$184.40	$466.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.48 / $345.95 / $449.73	Professional		$214.48	$345.95	$449.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $414.95 / $462.78 / $462.78	Facility		$414.95	$462.78	$462.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.52 / $331.72 / $497.58	Professional		$263.52	$331.72	$497.58
United Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $199.71 / $286.51	Professional		$156.37	$199.71	$286.51