Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Facility		$13.24	$13.24	$13.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.62 / $139.56	Professional		$13.24	$15.62	$139.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $29.06	Facility		$29.06	$29.06	$29.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $29.06 / $55.13	Professional		$24.70	$29.06	$55.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $34.75 / $45.17	Professional		$21.89	$34.75	$45.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $33.20 / $49.80	Professional		$26.38	$33.20	$49.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.51 / $29.43	Professional		$16.05	$20.51	$29.43