Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $39.72 / $39.72	Facility		$39.72	$39.72	$39.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $55.07 / $474.42	Professional		$39.72	$55.07	$474.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $79.77 / $88.47	Professional		$58.23	$79.77	$88.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $120.04 / $156.05	Professional		$74.42	$120.04	$156.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.97 / $160.58 / $160.58	Facility		$143.97	$160.58	$160.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $115.10 / $172.65	Professional		$91.44	$115.10	$172.65
United Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $61.52 / $78.78	Professional		$47.27	$61.52	$78.78