Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Facility		$71.52	$71.52	$71.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $95.93 / $854.28	Professional		$71.52	$95.93	$854.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $147.91	Professional		$101.29	$138.76	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $162.12 / $210.75	Professional		$100.51	$162.12	$210.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.45 / $216.86 / $216.86	Facility		$194.45	$216.86	$216.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $155.44 / $233.17	Professional		$123.49	$155.44	$233.17
United Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $110.79 / $158.94	Professional		$100.03	$110.79	$158.94