Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42