Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $74.52 / $74.52	Facility		$74.52	$74.52	$74.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $105.35 / $890.09	Professional		$74.52	$105.35	$890.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $177.21	Professional		$121.35	$166.23	$177.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $183.42 / $238.44	Professional		$113.72	$183.42	$238.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $245.36 / $245.36	Facility		$220.00	$245.36	$245.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $175.88 / $263.81	Professional		$139.72	$175.88	$263.81
United Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $115.43 / $147.80	Professional		$88.68	$115.43	$147.80