Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $78.12 / $695.70	Professional		$62.01	$78.12	$695.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $277.25	Professional		$92.70	$92.70	$277.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $141.44 / $183.87	Professional		$87.69	$141.44	$183.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $189.20 / $189.20	Facility		$169.65	$189.20	$189.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $135.62 / $203.43	Professional		$107.74	$135.62	$203.43
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $96.06 / $155.36	Professional		$86.74	$96.06	$155.36