Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $28.31	Facility		$28.31	$28.31	$28.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $52.78 / $338.08	Professional		$28.31	$52.78	$338.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $71.18	Professional		$48.75	$66.78	$71.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $64.16 / $83.40	Professional		$39.92	$64.16	$83.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $85.83 / $85.83	Facility		$76.95	$85.83	$85.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $61.52 / $92.28	Professional		$48.87	$61.52	$92.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $43.85 / $56.14	Professional		$34.33	$43.85	$56.14