Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $83.31 / $83.31	Facility		$83.31	$83.31	$83.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $83.81 / $746.33	Professional		$83.31	$83.81	$746.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $172.31	Professional		$117.99	$161.63	$172.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $188.84 / $245.49	Professional		$117.08	$188.84	$245.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $226.51 / $252.61 / $252.61	Facility		$226.51	$252.61	$252.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $181.08 / $271.61	Professional		$143.84	$181.08	$271.61
United Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $170.54 / $172.06	Facility		$107.54	$170.54	$172.06
United Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $129.05 / $185.14	Professional		$116.52	$129.05	$185.14