Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $94.46 / $841.20	Professional		$87.90	$94.46	$841.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $175.66	Professional		$124.49	$170.54	$175.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $199.25 / $259.02	Professional		$123.53	$199.25	$259.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $238.99 / $266.54 / $266.54	Facility		$238.99	$266.54	$266.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $191.05 / $286.58	Professional		$151.77	$191.05	$286.58
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $136.16 / $195.34	Professional		$125.89	$136.16	$195.34