Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.13 / $70.13	Facility		$70.13	$70.13	$70.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $94.06 / $837.66	Professional		$70.13	$94.06	$837.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $254.90	Professional		$102.82	$102.82	$254.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $177.21 / $230.37	Professional		$109.87	$177.21	$230.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $212.55 / $237.05 / $237.05	Facility		$212.55	$237.05	$237.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $169.92 / $254.88	Professional		$134.99	$169.92	$254.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $108.63 / $155.84	Professional		$98.08	$108.63	$155.84