Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Facility		$12.15	$12.15	$12.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $28.74 / $113.12	Professional		$12.15	$28.74	$113.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $26.66	Facility		$22.51	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $26.66 / $43.88	Professional		$22.66	$26.66	$43.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $27.63 / $37.16	Professional		$22.57	$27.63	$37.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $26.40 / $39.60	Professional		$20.97	$26.40	$39.60
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.82 / $21.06	Professional		$14.73	$18.82	$21.06