Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $49.69 / $49.69	Facility		$49.69	$49.69	$49.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $77.54 / $486.36	Professional		$49.69	$77.54	$486.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $111.13	Professional		$76.09	$104.24	$111.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $127.48 / $165.72	Professional		$79.03	$127.48	$165.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $170.54 / $170.54	Facility		$152.91	$170.54	$170.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $122.24 / $183.36	Professional		$97.10	$122.24	$183.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $76.97 / $98.55	Professional		$60.27	$76.97	$98.55