Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $68.50	Facility		$68.50	$68.50	$68.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $94.98 / $613.64	Professional		$68.50	$94.98	$613.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $160.02	Professional		$109.58	$150.11	$160.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $170.30 / $221.39	Professional		$105.58	$170.30	$221.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.27 / $227.81 / $227.81	Facility		$204.27	$227.81	$227.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $163.30 / $244.94	Professional		$129.72	$163.30	$244.94
United Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $106.10 / $127.61	Professional		$83.08	$106.10	$127.61