Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $2,220.04 / $4,950.59	Facility		$123.35	$2,220.04	$4,950.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $109.52 / $2,012.52	Professional		$106.33	$109.52	$2,012.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.57 / $190.61 / $233.52	Facility		$158.57	$190.61	$233.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $136.10 / $204.50	Professional		$60.00	$136.10	$204.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $278.39 / $351.65 / $481.55	Facility		$278.39	$351.65	$481.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $144.12 / $151.69	Professional		$116.96	$144.12	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33