Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Facility		$67.15	$67.15	$67.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $71.23 / $634.41	Professional		$67.15	$71.23	$634.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $187.18	Professional		$128.16	$175.58	$187.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $171.07 / $222.39	Professional		$106.06	$171.07	$222.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $205.19 / $228.84 / $228.84	Facility		$205.19	$228.84	$228.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $164.03 / $246.05	Professional		$130.31	$164.03	$246.05
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $104.02 / $149.22	Professional		$93.92	$104.02	$149.22