Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $100.47 / $100.47	Facility		$100.47	$100.47	$100.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $187.35 / $774.00	Professional		$100.47	$187.35	$774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $207.79	Professional		$142.29	$194.92	$207.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $245.74 / $319.46	Professional		$152.35	$245.74	$319.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $294.76 / $328.73 / $328.73	Facility		$294.76	$328.73	$328.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $235.63 / $353.45	Professional		$187.19	$235.63	$353.45
United Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $154.24 / $187.16	Professional		$119.56	$154.24	$187.16