Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $56.78 / $56.78	Facility		$56.78	$56.78	$56.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $72.83 / $615.34	Professional		$56.78	$72.83	$615.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $126.47	Professional		$80.42	$110.16	$126.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $171.60 / $223.08	Professional		$106.39	$171.60	$223.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $205.82 / $229.55 / $229.55	Facility		$205.82	$229.55	$229.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $164.54 / $246.81	Professional		$130.72	$164.54	$246.81
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $87.95 / $112.62	Professional		$67.56	$87.95	$112.62