Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $42.73 / $42.73	Facility		$42.73	$42.73	$42.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $60.41 / $510.40	Professional		$42.73	$60.41	$510.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $113.24	Professional		$77.54	$106.22	$113.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $96.86 / $125.91	Professional		$60.05	$96.86	$125.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $129.57 / $129.57	Facility		$116.18	$129.57	$129.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $92.88 / $139.31	Professional		$73.78	$92.88	$139.31
United Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $65.59 / $66.19	Facility		$55.16	$65.59	$66.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $66.19 / $84.75	Professional		$51.83	$66.19	$84.75