Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $101.34 / $101.34	Facility		$101.34	$101.34	$101.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $158.12 / $991.87	Professional		$101.34	$158.12	$991.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $306.37	Professional		$155.47	$212.98	$306.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $259.92 / $337.89	Professional		$161.15	$259.92	$337.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $347.70 / $347.70	Facility		$311.77	$347.70	$347.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $249.23 / $373.84	Professional		$198.00	$249.23	$373.84
United Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $155.57 / $193.51	Professional		$120.60	$155.57	$193.51