Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $75.05 / $549.51	Professional		$64.80	$75.05	$549.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $128.79 / $137.30	Professional		$94.02	$128.79	$137.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $43.73 / $60.00	Professional		$30.61	$43.73	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $105.58	Facility		$78.06	$78.06	$105.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $69.95 / $112.05	Professional		$56.29	$69.95	$112.05
United Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $86.98 / $88.70	Professional		$61.41	$86.98	$88.70