Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.15 / $533.54	Professional		$44.67	$63.15	$533.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $99.50	Professional		$63.26	$86.66	$99.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $135.00 / $175.50	Professional		$83.70	$135.00	$175.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $161.93 / $180.60 / $180.60	Facility		$161.93	$180.60	$180.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $129.44 / $194.18	Professional		$102.84	$129.44	$194.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $69.19 / $88.60	Professional		$54.18	$69.19	$88.60