Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Facility		$37.00	$37.00	$37.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $45.49 / $384.30	Professional		$37.00	$45.49	$384.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $91.88 / $91.88	Facility		$91.88	$91.88	$91.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $163.88	Professional		$67.06	$67.06	$163.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.10 / $105.01 / $136.51	Professional		$65.10	$105.01	$136.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.96 / $140.47 / $140.47	Facility		$125.96	$140.47	$140.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $100.70 / $151.04	Professional		$79.98	$100.70	$151.04
United Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $57.31 / $67.31	Professional		$51.75	$57.31	$67.31