Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $68.09	Facility		$68.09	$68.09	$68.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $91.32 / $813.26	Professional		$68.09	$91.32	$813.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $177.47	Professional		$121.52	$166.47	$177.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $181.51 / $235.96	Professional		$112.53	$181.51	$235.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $242.80 / $242.80	Facility		$217.71	$242.80	$242.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $174.04 / $261.06	Professional		$138.26	$174.04	$261.06
United Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $105.47 / $151.30	Professional		$95.23	$105.47	$151.30