Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $39.54 / $340.65	Professional		$28.52	$39.54	$340.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $64.55	Professional		$44.20	$60.55	$64.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $64.64 / $84.03	Professional		$40.22	$64.64	$84.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $86.47 / $86.47	Facility		$77.54	$86.47	$86.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $61.99 / $92.98	Professional		$49.24	$61.99	$92.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $44.18 / $56.56	Professional		$34.59	$44.18	$56.56