Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $107.47 / $107.47	Facility		$107.47	$107.47	$107.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $113.73 / $1,012.86	Professional		$107.47	$113.73	$1,012.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $223.43	Professional		$153.00	$209.59	$223.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $243.59 / $316.66	Professional		$151.02	$243.59	$316.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $292.19 / $325.86 / $325.86	Facility		$292.19	$325.86	$325.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $233.58 / $350.36	Professional		$185.56	$233.58	$350.36
United Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $221.96 / $250.82	Facility		$138.72	$221.96	$250.82
United Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $166.47 / $238.83	Professional		$150.31	$166.47	$238.83