Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $90.08 / $90.08	Facility		$90.08	$90.08	$90.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $120.82 / $1,075.98	Professional		$90.08	$120.82	$1,075.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $186.32	Professional		$127.58	$174.77	$186.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $207.04 / $269.15	Professional		$128.36	$207.04	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.33 / $276.95 / $276.95	Facility		$248.33	$276.95	$276.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $198.52 / $297.77	Professional		$157.71	$198.52	$297.77
United Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $139.54 / $199.68	Professional		$125.99	$139.54	$199.68