Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $72.00 / $600.41	Professional		$70.69	$72.00	$600.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $151.88	Professional		$38.08	$52.17	$151.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $47.67 / $61.97	Professional		$35.00	$47.67	$61.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $115.12	Facility		$85.10	$85.10	$115.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $61.36 / $183.28	Professional		$61.36	$61.36	$183.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $94.18 / $125.57	Professional		$44.12	$94.18	$125.57