Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $45.29 / $45.29	Facility		$45.29	$45.29	$45.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $63.85 / $443.40	Professional		$45.29	$63.85	$443.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $94.72	Professional		$64.86	$88.85	$94.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $116.15 / $150.99	Professional		$72.01	$116.15	$150.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $155.38 / $155.38	Facility		$139.32	$155.38	$155.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $111.38 / $167.07	Professional		$88.49	$111.38	$167.07
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $70.16 / $89.84	Professional		$54.94	$70.16	$89.84