Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $84.06 / $84.06	Facility		$84.06	$84.06	$84.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $101.31 / $902.20	Professional		$84.06	$101.31	$902.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $231.85	Professional		$164.32	$225.10	$231.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $190.53 / $247.68	Professional		$118.12	$190.53	$247.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $228.53 / $254.87 / $254.87	Facility		$228.53	$254.87	$254.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $182.69 / $274.04	Professional		$145.13	$182.69	$274.04
United Facility/Professional Facility Modifier Low / Median / High Price $108.51 / $172.06 / $173.61	Facility		$108.51	$172.06	$173.61
United Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $130.21 / $186.80	Professional		$117.56	$130.21	$186.80