Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.05 / $186.86	Professional		$19.10	$22.05	$186.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $42.22	Facility		$38.15	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $51.90	Professional		$32.43	$38.15	$51.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $14.90 / $35.00	Professional		$12.20	$14.90	$35.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $26.56 / $35.92	Facility		$26.56	$26.56	$35.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $23.80 / $38.11	Professional		$19.14	$23.80	$38.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $29.32 / $29.59	Professional		$18.60	$29.32	$29.59