Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Facility		$30.22	$30.22	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $35.01 / $295.77	Professional		$30.22	$35.01	$295.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $72.45	Professional		$49.61	$67.95	$72.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $77.52 / $100.77	Professional		$48.24	$77.52	$100.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $103.70 / $103.70	Facility		$92.98	$103.70	$103.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $74.33 / $111.50	Professional		$59.05	$74.33	$111.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $46.81 / $59.94	Professional		$36.65	$46.81	$59.94