Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $23.08 / $23.08	Facility		$23.08	$23.08	$23.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $25.63 / $216.60	Professional		$23.08	$25.63	$216.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $56.44	Professional		$38.65	$52.95	$56.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.32 / $68.01	Professional		$35.00	$52.32	$68.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $69.98 / $69.98	Facility		$62.75	$69.98	$69.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $50.17 / $75.25	Professional		$39.85	$50.17	$75.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $35.75 / $41.99	Professional		$32.29	$35.75	$41.99