Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $242.00 / $242.00	Facility		$242.00	$242.00	$242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $313.97 / $2,796.02	Professional		$242.00	$313.97	$2,796.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $663.69	Professional		$470.38	$644.36	$663.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.08 / $548.53 / $713.08	Professional		$340.08	$548.53	$713.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $657.93 / $733.77 / $733.77	Facility		$657.93	$733.77	$733.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $417.83 / $525.97 / $788.95	Professional		$417.83	$525.97	$788.95
United Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $374.86 / $537.78	Professional		$293.51	$374.86	$537.78