Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $122.85 / $122.85	Facility		$122.85	$122.85	$122.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $123.58 / $1,100.55	Professional		$122.85	$123.58	$1,100.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $264.43	Professional		$181.08	$248.05	$264.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $278.45 / $361.98	Professional		$172.63	$278.45	$361.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $333.99 / $372.49 / $372.49	Facility		$333.99	$372.49	$372.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.11 / $267.00 / $400.50	Professional		$212.11	$267.00	$400.50
United Facility/Professional Professional Modifier Low / Median / High Price $171.82 / $190.30 / $273.00	Professional		$171.82	$190.30	$273.00