Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $40.78 / $40.78	Facility		$40.78	$40.78	$40.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $76.04 / $429.55	Professional		$40.78	$76.04	$429.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $105.90 / $137.66	Professional		$65.65	$105.90	$137.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.03 / $141.66 / $141.66	Facility		$127.03	$141.66	$141.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $101.55 / $152.32	Professional		$80.68	$101.55	$152.32
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $63.16 / $80.88	Professional		$49.46	$63.16	$80.88