Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $148.11 / $148.11	Facility		$148.11	$148.11	$148.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $209.39 / $1,769.11	Professional		$148.11	$209.39	$1,769.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $363.13	Professional		$257.36	$352.55	$363.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.27 / $350.45 / $455.58	Professional		$217.27	$350.45	$455.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $420.35 / $468.80 / $468.80	Facility		$420.35	$468.80	$468.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $336.04 / $504.05	Professional		$266.95	$336.04	$504.05
United Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $229.42 / $293.76	Professional		$179.64	$229.42	$293.76