Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $65.18 / $65.18	Facility		$65.18	$65.18	$65.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $87.42 / $778.56	Professional		$65.18	$87.42	$778.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $182.19	Professional		$124.75	$170.89	$182.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $177.19 / $230.34	Professional		$109.85	$177.19	$230.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $237.03 / $237.03	Facility		$212.53	$237.03	$237.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $169.90 / $254.86	Professional		$134.97	$169.90	$254.86
United Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $100.96 / $144.85	Professional		$91.16	$100.96	$144.85