Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $72.08 / $72.08	Facility		$72.08	$72.08	$72.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $96.67 / $860.91	Professional		$72.08	$96.67	$860.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $288.23	Professional		$124.07	$124.07	$288.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $163.37 / $212.38	Professional		$101.28	$163.37	$212.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $195.96 / $218.54 / $218.54	Facility		$195.96	$218.54	$218.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $156.65 / $234.98	Professional		$124.45	$156.65	$234.98
United Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $111.65 / $160.16	Professional		$100.81	$111.65	$160.16