Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $48.60	Facility		$48.60	$48.60	$48.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $83.24 / $580.50	Professional		$48.60	$83.24	$580.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $108.26	Professional		$71.39	$97.79	$108.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $146.88 / $190.94	Professional		$91.06	$146.88	$190.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.18 / $196.48 / $196.48	Facility		$176.18	$196.48	$196.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $140.84 / $211.26	Professional		$111.88	$140.84	$211.26
United Facility/Professional Facility Modifier Low / Median / High Price $62.74 / $75.28 / $85.37	Facility		$62.74	$75.28	$85.37
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $75.28 / $108.00	Professional		$58.94	$75.28	$108.00