Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $63.04 / $63.04	Facility		$63.04	$63.04	$63.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $84.55 / $752.99	Professional		$63.04	$84.55	$752.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $137.21	Professional		$89.29	$122.31	$137.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $173.72 / $225.83	Professional		$107.70	$173.72	$225.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.37 / $232.39 / $232.39	Facility		$208.37	$232.39	$232.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $166.58 / $249.87	Professional		$132.33	$166.58	$249.87
United Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $97.65 / $140.09	Professional		$88.17	$97.65	$140.09