Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $43.64 / $43.64	Facility		$43.64	$43.64	$43.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $81.37 / $441.00	Professional		$43.64	$81.37	$441.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $157.13	Professional		$63.42	$86.88	$157.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $131.88 / $171.44	Professional		$81.76	$131.88	$171.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $176.41 / $176.41	Facility		$158.18	$176.41	$176.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $126.46 / $189.68	Professional		$100.45	$126.46	$189.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $67.59 / $79.39	Professional		$51.93	$67.59	$79.39