Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $133.44	Facility		$133.44	$133.44	$133.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $178.63 / $1,590.75	Professional		$133.44	$178.63	$1,590.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $292.66	Professional		$200.41	$274.52	$292.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $302.45 / $393.19	Professional		$187.52	$302.45	$393.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $362.78 / $404.60 / $404.60	Facility		$362.78	$404.60	$404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $290.02 / $435.03	Professional		$230.40	$290.02	$435.03
United Facility/Professional Professional Modifier Low / Median / High Price $186.63 / $206.69 / $296.52	Professional		$186.63	$206.69	$296.52