Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $79.76 / $79.76	Facility		$79.76	$79.76	$79.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $79.76 / $608.71	Professional		$79.76	$79.76	$608.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $176.80	Professional		$145.90	$171.65	$176.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $159.84 / $207.79	Professional		$99.10	$159.84	$207.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.72 / $213.82 / $213.82	Facility		$191.72	$213.82	$213.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $153.27 / $229.90	Professional		$121.77	$153.27	$229.90
United Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $96.36 / $145.15	Professional		$87.01	$96.36	$145.15