Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $44.44	Facility		$44.44	$44.44	$44.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $82.16 / $398.08	Professional		$44.44	$82.16	$398.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $91.91	Professional		$62.93	$86.21	$91.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $100.73 / $130.94	Professional		$62.45	$100.73	$130.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $134.74 / $134.74	Facility		$120.82	$134.74	$134.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $96.59 / $144.88	Professional		$76.73	$96.59	$144.88
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $68.22 / $80.84	Professional		$53.90	$68.22	$80.84