Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $72.11 / $72.11	Facility		$72.11	$72.11	$72.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $84.64 / $753.79	Professional		$72.11	$84.64	$753.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $169.73	Professional		$116.23	$159.22	$169.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $192.91 / $250.78	Professional		$119.60	$192.91	$250.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $231.39 / $258.06 / $258.06	Facility		$231.39	$258.06	$258.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $184.98 / $277.45	Professional		$146.94	$184.98	$277.45
United Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $111.70 / $160.24	Professional		$100.85	$111.70	$160.24