Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $66.06 / $310.00	Professional		$53.28	$66.06	$310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $76.81 / $121.48	Professional		$62.59	$76.81	$121.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $37.83 / $65.98	Professional		$24.63	$37.83	$65.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $878.86 / $878.86 / $878.86	Facility	26	$878.86	$878.86	$878.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $103.85 / $121.27	Professional		$88.73	$103.85	$121.27
United Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $61.95 / $102.25	Professional		$56.78	$61.95	$102.25