Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $43.89 / $43.89	Facility		$43.89	$43.89	$43.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $73.13 / $440.27	Professional		$43.89	$73.13	$440.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $199.45	Professional		$62.17	$85.16	$199.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $99.49 / $129.33	Professional		$61.68	$99.49	$129.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $119.33 / $133.09 / $133.09	Facility		$119.33	$133.09	$133.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $95.40 / $143.09	Professional		$75.78	$95.40	$143.09
United Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $67.98 / $79.84	Professional		$53.24	$67.98	$79.84