Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $115.27 / $115.27	Facility		$115.27	$115.27	$115.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $122.58 / $1,091.58	Professional		$115.27	$122.58	$1,091.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $306.74	Professional		$217.40	$297.81	$306.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.98 / $348.37 / $452.88	Professional		$215.98	$348.37	$452.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $417.85 / $466.01 / $466.01	Facility		$417.85	$466.01	$466.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.36 / $334.04 / $501.06	Professional		$265.36	$334.04	$501.06
United Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $178.55 / $255.51	Professional		$161.21	$178.55	$255.51