Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $161.02 / $161.02	Facility		$161.02	$161.02	$161.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.02 / $176.97 / $1,576.00	Professional		$161.02	$176.97	$1,576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $385.94	Professional		$264.27	$362.03	$385.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $413.04 / $536.95	Professional		$256.08	$413.04	$536.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.43 / $552.53 / $552.53	Facility		$495.43	$552.53	$552.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $396.05 / $594.08	Professional		$314.64	$396.05	$594.08
United Facility/Professional Professional Modifier Low / Median / High Price $207.86 / $249.43 / $357.83	Professional		$207.86	$249.43	$357.83