Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $85.83 / $85.83	Facility		$85.83	$85.83	$85.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $91.89 / $818.37	Professional		$85.83	$91.89	$818.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $188.90	Professional		$121.56	$166.52	$188.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $239.16 / $310.90	Professional		$148.27	$239.16	$310.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $286.86 / $319.93 / $319.93	Facility		$286.86	$319.93	$319.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $229.33 / $343.99	Professional		$182.18	$229.33	$343.99
United Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $132.94 / $190.74	Professional		$120.05	$132.94	$190.74