Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $57.04 / $481.88	Professional		$48.80	$57.04	$481.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $136.62	Professional		$96.83	$132.63	$136.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.57 / $110.61 / $144.31	Professional		$68.57	$110.61	$144.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $147.96 / $147.96	Facility		$132.66	$147.96	$147.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $106.06 / $159.09	Professional		$84.25	$106.06	$159.09
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $75.59 / $88.78	Professional		$59.18	$75.59	$88.78