Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $47.05 / $47.05	Facility		$47.05	$47.05	$47.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $91.28 / $407.00	Professional		$47.05	$91.28	$407.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $198.38	Professional		$70.61	$96.73	$198.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $116.62 / $151.60	Professional		$72.30	$116.62	$151.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $156.01 / $156.01	Facility		$139.88	$156.01	$156.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $111.83 / $167.74	Professional		$88.84	$111.83	$167.74
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $72.22 / $104.55	Professional		$57.06	$72.22	$104.55