Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $129.97 / $682.13	Professional		$69.70	$129.97	$682.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $135.22 / $198.58	Professional		$98.72	$135.22	$198.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $178.83 / $232.47	Professional		$110.87	$178.83	$232.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $239.23 / $239.23	Facility		$214.51	$239.23	$239.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $171.48 / $257.22	Professional		$136.22	$171.48	$257.22
United Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $107.00 / $129.85	Professional		$84.54	$107.00	$129.85