Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $82.43 / $82.43	Facility		$82.43	$82.43	$82.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $114.29 / $984.58	Professional		$82.43	$114.29	$984.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $392.63	Professional		$116.74	$116.74	$392.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $196.06 / $254.87	Professional		$121.55	$196.06	$254.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $235.16 / $262.27 / $262.27	Facility		$235.16	$262.27	$262.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $187.99 / $281.99	Professional		$149.34	$187.99	$281.99
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $127.68 / $163.47	Professional		$99.97	$127.68	$163.47