Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $77.55	Facility		$77.55	$77.55	$77.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $81.29 / $723.88	Professional		$77.55	$81.29	$723.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $170.64	Facility		$108.00	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $181.91	Professional		$124.57	$170.64	$181.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $175.78 / $228.51	Professional		$108.98	$175.78	$228.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $210.84 / $235.14 / $235.14	Facility		$210.84	$235.14	$235.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $168.55 / $252.82	Professional		$133.90	$168.55	$252.82
United Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $120.12 / $172.33	Professional		$108.46	$120.12	$172.33