Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $51.48 / $51.48	Facility		$51.48	$51.48	$51.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $69.05 / $614.95	Professional		$51.48	$69.05	$614.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $120.73	Professional		$82.67	$113.25	$120.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $136.02 / $176.82	Professional		$84.33	$136.02	$176.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.15 / $181.95 / $181.95	Facility		$163.15	$181.95	$181.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $130.41 / $195.64	Professional		$103.61	$130.41	$195.64
United Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $79.75 / $114.12	Professional		$72.01	$79.75	$114.12