Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $52.86 / $52.86	Facility		$52.86	$52.86	$52.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $52.86 / $62.53	Professional		$34.65	$52.86	$62.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $75.00	Facility		$72.00	$72.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $55.92 / $121.87	Professional		$30.94	$55.92	$121.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $65.90	Professional		$30.00	$45.00	$65.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $94.72 / $121.99	Facility		$85.45	$94.72	$121.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $76.43 / $77.79	Professional		$65.54	$76.43	$77.79
United Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $60.09 / $66.77	Professional		$46.53	$60.09	$66.77