Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $47.76 / $47.76	Facility		$47.76	$47.76	$47.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $67.34 / $133.72	Professional		$38.81	$67.34	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $90.58	Professional		$62.03	$84.97	$90.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.68 / $66.01	Professional		$35.00	$50.68	$66.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.54 / $67.54 / $77.72	Facility		$67.54	$67.54	$77.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $60.52 / $76.52	Professional		$48.69	$60.52	$76.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $55.35 / $56.45	Professional		$39.08	$55.35	$56.45