Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $127.02 / $1,073.20	Professional		$89.85	$127.02	$1,073.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $200.13	Professional		$127.25	$174.32	$200.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $271.54 / $353.00	Professional		$168.35	$271.54	$353.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $363.24 / $363.24	Facility		$325.70	$363.24	$363.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $260.37 / $390.56	Professional		$206.84	$260.37	$390.56
United Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $139.18 / $176.59	Professional		$108.97	$139.18	$176.59