Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $56.77 / $56.77	Facility		$56.77	$56.77	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $73.56 / $621.51	Professional		$56.77	$73.56	$621.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.14 / $117.42	Professional		$80.41	$110.14	$117.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $152.88 / $198.75	Professional		$94.79	$152.88	$198.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $204.52 / $204.52	Facility		$183.39	$204.52	$204.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $146.60 / $219.90	Professional		$116.47	$146.60	$219.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $87.94 / $105.76	Professional		$68.86	$87.94	$105.76