Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $193.05 / $193.05	Facility		$193.05	$193.05	$193.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.05 / $212.18 / $1,889.59	Professional		$193.05	$212.18	$1,889.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $434.07 / $462.74	Professional		$316.87	$434.07	$462.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.03 / $495.22 / $643.78	Professional		$307.03	$495.22	$643.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $593.99 / $662.46 / $662.46	Facility		$593.99	$662.46	$662.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.22 / $474.85 / $712.28	Professional		$377.22	$474.85	$712.28
United Facility/Professional Professional Modifier Low / Median / High Price $270.01 / $299.04 / $429.01	Professional		$270.01	$299.04	$429.01