Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $65.75 / $65.75	Facility		$65.75	$65.75	$65.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $88.19 / $785.33	Professional		$65.75	$88.19	$785.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $181.39	Professional		$124.21	$170.15	$181.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $159.24 / $207.01	Professional		$98.72	$159.24	$207.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $213.02 / $213.02	Facility		$191.00	$213.02	$213.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $152.69 / $229.04	Professional		$121.30	$152.69	$229.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $101.84 / $145.75	Professional		$91.96	$101.84	$145.75