Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.90 / $243.76	Professional		$77.62	$112.90	$243.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $234.38	Professional		$92.76	$92.76	$234.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $146.54 / $190.50	Professional		$60.00	$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 $70.43 / $89.95 / $112.90	Professional		$70.43	$89.95	$112.90