Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Facility		$32.65	$32.65	$32.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $46.16 / $389.99	Professional		$32.65	$46.16	$389.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $87.42 / $90.04	Professional		$63.82	$87.42	$90.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $74.01 / $96.21	Professional		$46.05	$74.01	$96.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.77 / $99.00 / $99.00	Facility		$88.77	$99.00	$99.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $70.97 / $106.45	Professional		$56.37	$70.97	$106.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $50.57 / $59.40	Professional		$39.60	$50.57	$59.40