Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.97 / $91.10 / $91.10	Facility		$41.97	$91.10	$91.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $169.87 / $697.00	Professional		$91.10	$169.87	$697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $367.13	Professional		$129.03	$176.75	$367.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $233.68 / $303.78	Professional		$144.88	$233.68	$303.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.29 / $312.60 / $312.60	Facility		$280.29	$312.60	$312.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.01 / $224.07 / $336.11	Professional		$178.01	$224.07	$336.11
United Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $141.11 / $180.68	Professional		$108.42	$141.11	$180.68