Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $98.01 / $179.29	Facility		$54.96	$98.01	$179.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $106.64 / $523.00	Professional		$54.96	$106.64	$523.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $121.71	Professional		$77.84	$106.63	$121.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $140.97 / $183.27	Professional		$87.40	$140.97	$183.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $188.59 / $188.59	Facility		$169.10	$188.59	$188.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $135.18 / $202.78	Professional		$107.39	$135.18	$202.78
United Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $83.36 / $99.98	Professional		$66.66	$83.36	$99.98