Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $33.26 / $33.26	Facility		$33.26	$33.26	$33.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $41.13 / $347.45	Professional		$33.26	$41.13	$347.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $68.78	Professional		$47.10	$64.52	$68.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $80.27 / $104.35	Professional		$49.94	$80.27	$104.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.27 / $107.37 / $107.37	Facility		$96.27	$107.37	$107.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $76.97 / $115.45	Professional		$61.14	$76.97	$115.45
United Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $51.52 / $60.50	Professional		$40.34	$51.52	$60.50