Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $89.69 / $89.69	Facility		$89.69	$89.69	$89.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $120.29 / $1,071.22	Professional		$89.69	$120.29	$1,071.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $189.38	Professional		$129.68	$177.64	$189.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $215.29 / $279.87	Professional		$133.47	$215.29	$279.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $258.23 / $288.00 / $288.00	Facility		$258.23	$288.00	$288.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $206.44 / $309.66	Professional		$164.00	$206.44	$309.66
United Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $138.91 / $199.31	Professional		$125.44	$138.91	$199.31