Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $28.11 / $28.11	Facility		$28.11	$28.11	$28.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $39.60 / $335.79	Professional		$28.11	$39.60	$335.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $68.89	Professional		$47.17	$64.62	$68.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $63.72 / $82.83	Professional		$39.65	$63.72	$82.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $85.24 / $85.24	Facility		$76.44	$85.24	$85.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $61.10 / $91.65	Professional		$48.54	$61.10	$91.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $43.55 / $55.76	Professional		$33.46	$43.55	$55.76