Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $55.55 / $55.55	Facility		$55.55	$55.55	$55.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $64.34 / $543.71	Professional		$55.55	$64.34	$543.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $114.90	Professional		$78.68	$107.78	$114.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $142.51 / $185.26	Professional		$88.35	$142.51	$185.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.93 / $190.63 / $190.63	Facility		$170.93	$190.63	$190.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.56 / $136.65 / $204.97	Professional		$108.56	$136.65	$204.97
United Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $86.05 / $99.63	Facility		$71.70	$86.05	$99.63
United Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $86.05 / $110.18	Professional		$66.12	$86.05	$110.18