Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $71.59 / $71.59	Facility		$71.59	$71.59	$71.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $96.03 / $855.18	Professional		$71.59	$96.03	$855.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $187.78	Professional		$133.09	$182.31	$187.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $162.28 / $210.96	Professional		$100.61	$162.28	$210.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.65 / $217.09 / $217.09	Facility		$194.65	$217.09	$217.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $155.61 / $233.42	Professional		$123.62	$155.61	$233.42
United Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $110.90 / $159.10	Professional		$100.13	$110.90	$159.10