Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $72.51 / $72.51	Facility		$72.51	$72.51	$72.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $97.25 / $866.08	Professional		$72.51	$97.25	$866.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $207.36	Professional		$141.99	$194.51	$207.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $164.36 / $213.66	Professional		$101.90	$164.36	$213.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $197.14 / $219.86 / $219.86	Facility		$197.14	$219.86	$219.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $157.60 / $236.40	Professional		$125.20	$157.60	$236.40
United Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $112.32 / $160.72	Professional		$101.51	$112.32	$160.72