Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $85.25 / $85.25	Facility		$85.25	$85.25	$85.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $119.18 / $1,018.31	Professional		$85.25	$119.18	$1,018.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $189.90	Professional		$120.74	$165.40	$189.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $257.64 / $334.94	Professional		$159.74	$257.64	$334.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.04 / $344.66 / $344.66	Facility		$309.04	$344.66	$344.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.27 / $247.05 / $370.58	Professional		$196.27	$247.05	$370.58
United Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $132.05 / $169.09	Professional		$101.46	$132.05	$169.09