Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $43.54 / $43.54	Facility		$43.54	$43.54	$43.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $51.44 / $434.62	Professional		$43.54	$51.44	$434.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $115.73	Professional		$82.02	$112.36	$115.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $98.70 / $128.31	Professional		$61.19	$98.70	$128.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $118.38 / $132.03 / $132.03	Facility		$118.38	$132.03	$132.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $94.64 / $141.96	Professional		$75.18	$94.64	$141.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $66.84 / $81.12	Professional		$51.82	$66.84	$81.12