Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $61.89 / $61.89	Facility		$61.89	$61.89	$61.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $78.45 / $662.84	Professional		$61.89	$78.45	$662.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $222.75	Professional		$90.75	$90.75	$222.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $187.05 / $243.16	Professional		$115.97	$187.05	$243.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $224.37 / $250.23 / $250.23	Facility		$224.37	$250.23	$250.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $179.36 / $269.04	Professional		$142.49	$179.36	$269.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $95.02 / $112.60	Professional		$73.66	$95.02	$112.60