Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $103.04 / $103.04	Facility		$103.04	$103.04	$103.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $113.24 / $1,008.49	Professional		$103.04	$113.24	$1,008.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $246.96	Professional		$169.11	$231.66	$246.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $264.31 / $343.60	Professional		$163.87	$264.31	$343.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $353.56 / $353.56	Facility		$317.02	$353.56	$353.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $253.44 / $380.15	Professional		$201.33	$253.44	$380.15
United Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $159.61 / $228.97	Professional		$144.11	$159.61	$228.97