Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Facility		$42.49	$42.49	$42.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $78.56 / $507.56	Professional		$42.49	$78.56	$507.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $110.15	Professional		$75.42	$103.32	$110.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $125.43 / $163.05	Professional		$77.76	$125.43	$163.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $167.78 / $167.78	Facility		$150.44	$167.78	$167.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $120.27 / $180.40	Professional		$95.54	$120.27	$180.40
United Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $65.81 / $81.14	Professional		$51.54	$65.81	$81.14