Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $114.47	Facility		$114.47	$114.47	$114.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $161.83 / $1,367.28	Professional		$114.47	$161.83	$1,367.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $437.25	Professional		$178.04	$178.04	$437.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $259.45 / $337.29	Professional		$160.86	$259.45	$337.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $311.20 / $347.09 / $347.09	Facility		$311.20	$347.09	$347.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $248.79 / $373.18	Professional		$197.64	$248.79	$373.18
United Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $177.31 / $208.25	Professional		$138.84	$177.31	$208.25