Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Facility		$41.00	$41.00	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $57.96 / $489.69	Professional		$41.00	$57.96	$489.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $76.06 / $171.75	Professional		$68.48	$76.06	$171.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $92.92 / $120.79	Professional		$57.82	$92.92	$120.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $124.31 / $124.31	Facility		$111.46	$124.31	$124.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $89.10 / $133.65	Professional		$70.78	$89.10	$133.65
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $63.50 / $91.11	Professional		$49.72	$63.50	$91.11