Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $11.50	Facility		$11.50	$11.50	$11.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $15.94 / $137.34	Professional		$11.50	$15.94	$137.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $24.63	Professional		$16.86	$23.10	$24.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $26.16 / $35.00	Professional		$21.36	$26.16	$35.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $34.86 / $34.86	Facility		$31.26	$34.86	$34.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $24.99 / $37.49	Professional		$19.85	$24.99	$37.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $17.80 / $21.96	Professional		$13.95	$17.80	$21.96