Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $27.70 / $27.70	Facility		$27.70	$27.70	$27.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $75.17	Professional		$23.88	$24.12	$75.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $71.15 / $92.38	Facility		$39.53	$71.15	$92.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Professional		$23.88	$23.88	$23.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $31.04 / $51.08	Professional		$23.88	$31.04	$51.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $108.98 / $159.82	Facility		$73.23	$108.98	$159.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $32.36 / $34.07	Professional		$26.27	$32.36	$34.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Professional		$23.88	$23.88	$23.88