Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $46.88 / $46.88	Facility		$46.88	$46.88	$46.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $68.93 / $559.99	Professional		$46.88	$68.93	$559.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $103.98	Professional		$71.20	$97.54	$103.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $124.06 / $161.27	Professional		$76.91	$124.06	$161.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $165.96 / $165.96	Facility		$148.80	$165.96	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $118.96 / $178.44	Professional		$94.50	$118.96	$178.44
United Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $72.62 / $104.18	Professional		$65.56	$72.62	$104.18