Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $48.61 / $48.61	Facility		$48.61	$48.61	$48.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $67.41 / $540.00	Professional		$48.61	$67.41	$540.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $126.78	Professional		$85.67	$117.36	$126.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $110.19 / $143.24	Professional		$68.31	$110.19	$143.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.16 / $147.40 / $147.40	Facility		$132.16	$147.40	$147.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $105.66 / $158.49	Professional		$83.94	$105.66	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $75.31 / $88.44	Professional		$58.96	$75.31	$88.44