Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $220.22 / $220.22	Facility		$220.22	$220.22	$220.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $295.36 / $2,630.36	Professional		$220.22	$295.36	$2,630.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $427.25	Facility		$427.25	$427.25	$427.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $455.47	Professional		$311.89	$427.25	$455.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.68 / $528.52 / $687.07	Professional		$327.68	$528.52	$687.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $633.92 / $707.00 / $707.00	Facility		$633.92	$707.00	$707.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.59 / $506.78 / $760.17	Professional		$402.59	$506.78	$760.17
United Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $341.11 / $489.37	Professional		$308.00	$341.11	$489.37