Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $104.90 / $104.90	Facility		$104.90	$104.90	$104.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $140.69 / $1,252.91	Professional		$104.90	$140.69	$1,252.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $250.38	Professional		$148.56	$203.51	$250.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.54 / $317.01 / $412.11	Professional		$196.54	$317.01	$412.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.25 / $424.07 / $424.07	Facility		$380.25	$424.07	$424.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $303.98 / $455.96	Professional		$241.48	$303.98	$455.96
United Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $162.47 / $233.10	Professional		$146.71	$162.47	$233.10