Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Facility		$29.71	$29.71	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $43.95 / $354.91	Professional		$29.71	$43.95	$354.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $66.87	Professional		$45.79	$62.72	$66.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $87.27 / $113.45	Professional		$54.30	$87.27	$113.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $116.74 / $116.74	Facility		$104.67	$116.74	$116.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $83.68 / $125.52	Professional		$66.47	$83.68	$125.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $46.03 / $58.94	Professional		$36.04	$46.03	$58.94