Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $49.45 / $49.45	Facility		$49.45	$49.45	$49.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $49.74 / $443.02	Professional		$49.45	$49.74	$443.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $118.04	Professional		$72.50	$99.32	$118.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $149.44 / $194.27	Professional		$92.65	$149.44	$194.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $179.26 / $199.92 / $199.92	Facility		$179.26	$199.92	$199.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $143.30 / $214.95	Professional		$113.85	$143.30	$214.95
United Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $76.59 / $107.00	Professional		$69.16	$76.59	$107.00