Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $57.30 / $57.30	Facility		$57.30	$57.30	$57.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $62.97 / $560.82	Professional		$57.30	$62.97	$560.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.40 / $120.62 / $120.62	Facility		$110.40	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $128.59	Professional		$88.05	$120.62	$128.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $147.00 / $191.10	Professional		$91.14	$147.00	$191.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $196.64 / $196.64	Facility		$176.32	$196.64	$196.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $140.94 / $211.43	Professional		$111.98	$140.94	$211.43
United Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $88.76 / $127.34	Professional		$80.15	$88.76	$127.34