Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $42.81 / $191.57	Facility		$42.81	$42.81	$191.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $42.81 / $207.60	Professional		$31.73	$42.81	$207.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $113.03 / $357.81	Facility		$39.84	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $47.25 / $75.34	Professional		$36.71	$47.25	$75.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.81	Professional		$22.10	$28.89	$38.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $174.89 / $251.95	Facility		$133.81	$174.89	$251.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $65.37 / $75.70	Professional		$56.02	$65.37	$75.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $39.04 / $63.63	Professional		$34.34	$39.04	$63.63