Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $64.36 / $64.36	Facility		$64.36	$64.36	$64.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $86.32 / $768.74	Professional		$64.36	$86.32	$768.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $177.52	Professional		$125.82	$172.35	$177.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $148.52 / $193.07	Professional		$92.08	$148.52	$193.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $198.67 / $198.67	Facility		$178.14	$198.67	$198.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $142.41 / $213.61	Professional		$113.13	$142.41	$213.61
United Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $132.91 / $150.19	Facility		$83.08	$132.91	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $99.69 / $143.02	Professional		$90.01	$99.69	$143.02