Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $120.73 / $740.36	Professional		$64.75	$120.73	$740.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $175.13 / $210.22	Professional		$91.70	$175.13	$210.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $155.41 / $202.04	Professional		$96.36	$155.41	$202.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.41 / $207.90 / $207.90	Facility		$186.41	$207.90	$207.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $149.02 / $223.53	Professional		$118.38	$149.02	$223.53
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $98.20 / $117.79	Professional		$78.52	$98.20	$117.79