Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $28.00 / $28.00	Facility		$28.00	$28.00	$28.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.64 / $42.27	Professional		$28.00	$28.64	$42.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $347.59 / $982.29	Facility		$253.74	$347.59	$982.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.23 / $379.23 / $379.23	Professional		$379.23	$379.23	$379.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.87 / $464.61 / $677.06	Facility		$340.87	$464.61	$677.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $35.61 / $44.40	Professional		$32.06	$35.61	$44.40
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $26.94 / $48.60	Professional		$21.17	$26.94	$48.60