Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $55.99 / $55.99	Facility		$55.99	$55.99	$55.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $64.86 / $547.98	Professional		$55.99	$64.86	$547.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $225.75	Professional		$94.64	$94.64	$225.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $60.00 / $174.88	Professional		$35.00	$60.00	$174.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $172.24 / $192.09 / $192.09	Facility		$172.24	$192.09	$192.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $137.69 / $206.54	Professional		$109.39	$137.69	$206.54
United Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $86.72 / $101.86	Professional		$78.31	$86.72	$101.86