Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Facility		$63.06	$63.06	$63.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $753.23	Professional		$63.06	$63.06	$753.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $142.55	Professional		$97.62	$133.72	$142.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.44 / $65.65	Professional		$35.00	$50.44	$65.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.05 / $90.05 / $114.12	Facility		$90.05	$90.05	$114.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $80.69 / $139.96	Professional		$64.93	$80.69	$139.96
United Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $96.81 / $97.68	Professional		$61.40	$96.81	$97.68