Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $98.71 / $98.71	Facility		$98.71	$98.71	$98.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $107.80 / $960.05	Professional		$98.71	$107.80	$960.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $227.13	Professional		$160.97	$220.51	$227.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.48 / $250.78 / $326.01	Professional		$155.48	$250.78	$326.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $335.47 / $335.47	Facility		$300.80	$335.47	$335.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $240.46 / $360.70	Professional		$191.03	$240.46	$360.70
United Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $152.90 / $219.35	Professional		$138.05	$152.90	$219.35