Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $117.21 / $117.21	Facility		$117.21	$117.21	$117.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $148.60 / $1,323.32	Professional		$117.21	$148.60	$1,323.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $301.25	Professional		$213.51	$292.48	$301.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $298.08 / $387.50	Professional		$184.80	$298.08	$387.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $357.53 / $398.74 / $398.74	Facility		$357.53	$398.74	$398.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.06 / $285.82 / $428.73	Professional		$227.06	$285.82	$428.73
United Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $181.55 / $260.47	Professional		$163.93	$181.55	$260.47