Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $62.56 / $62.56	Facility		$58.07	$62.56	$62.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $108.30 / $438.00	Professional		$58.07	$108.30	$438.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $120.11	Professional		$82.25	$112.67	$120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $146.54 / $190.50	Professional		$90.85	$146.54	$190.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $196.03 / $196.03	Facility		$175.77	$196.03	$196.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $140.51 / $210.77	Professional		$111.63	$140.51	$210.77
United Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $89.15 / $105.65	Professional		$69.11	$89.15	$105.65