Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $40.18 / $40.18	Facility		$40.18	$40.18	$40.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $78.20 / $423.38	Professional		$40.18	$78.20	$423.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $170.25	Professional		$74.93	$88.15	$170.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $107.12 / $139.25	Professional		$66.41	$107.12	$139.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $102.71 / $154.07	Professional		$81.59	$102.71	$154.07
United Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $97.64 / $98.52	Facility		$49.35	$97.64	$98.52
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $62.23 / $89.28	Professional		$48.72	$62.23	$89.28