Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $102.83 / $868.78	Professional		$72.73	$102.83	$868.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $261.75	Professional		$103.02	$103.02	$261.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $188.52 / $245.07	Professional		$116.88	$188.52	$245.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $226.13 / $252.19 / $252.19	Facility		$226.13	$252.19	$252.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $180.77 / $271.14	Professional		$143.61	$180.77	$271.14
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $112.67 / $193.68	Professional		$88.22	$112.67	$193.68