Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $22.05 / $22.05	Facility		$22.05	$22.05	$22.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $31.17 / $263.33	Professional		$22.05	$31.17	$263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $49.10	Professional		$31.22	$42.77	$49.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $66.63 / $86.61	Professional		$41.45	$66.63	$86.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $89.13 / $89.13	Facility		$79.92	$89.13	$89.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $63.89 / $95.83	Professional		$50.75	$63.89	$95.83
United Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $34.15 / $38.72	Facility		$28.46	$34.15	$38.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $34.15 / $43.72	Professional		$26.24	$34.15	$43.72