Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Facility		$15.48	$15.48	$15.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $30.14 / $163.19	Professional		$15.48	$30.14	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.97	Facility		$33.97	$33.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $65.63	Professional		$28.88	$33.97	$65.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $41.29 / $53.87	Professional		$29.00	$41.29	$53.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $39.59 / $59.39	Professional		$31.45	$39.59	$59.39
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $23.99 / $28.17	Professional		$18.78	$23.99	$28.17