Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $109.77 / $109.77	Facility		$109.77	$109.77	$109.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $204.70 / $1,311.10	Professional		$109.77	$204.70	$1,311.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $244.66	Professional		$167.54	$229.50	$244.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $248.80 / $323.44	Professional		$154.25	$248.80	$323.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.43 / $332.82 / $332.82	Facility		$298.43	$332.82	$332.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $238.57 / $357.85	Professional		$189.52	$238.57	$357.85
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $170.03 / $199.69	Professional		$133.13	$170.03	$199.69