Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $46.70	Facility		$46.70	$46.70	$46.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $46.98 / $418.34	Professional		$46.70	$46.98	$418.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $128.85	Facility		$126.00	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $128.85 / $168.00	Professional		$109.52	$128.85	$168.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $105.85 / $137.60	Professional		$65.62	$105.85	$137.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.96 / $141.59 / $141.59	Facility		$126.96	$141.59	$141.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $101.49 / $152.24	Professional		$80.63	$101.49	$152.24
United Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $72.34 / $103.77	Professional		$65.31	$72.34	$103.77