Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Facility		$87.77	$87.77	$87.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $96.46 / $859.03	Professional		$87.77	$96.46	$859.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $353.63	Professional		$144.75	$170.29	$353.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $225.13 / $292.66	Professional		$139.58	$225.13	$292.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $270.04 / $301.16 / $301.16	Facility		$270.04	$301.16	$301.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $215.87 / $323.81	Professional		$171.50	$215.87	$323.81
United Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $135.94 / $195.04	Professional		$106.45	$135.94	$195.04