Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $30.83 / $30.83	Facility		$30.83	$30.83	$30.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $51.94 / $368.27	Professional		$30.83	$51.94	$368.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $66.95	Professional		$45.85	$62.81	$66.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $69.89 / $90.85	Professional		$43.49	$69.89	$90.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $93.49 / $93.49	Facility		$83.82	$93.49	$93.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $67.01 / $100.52	Professional		$53.24	$67.01	$100.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $47.76 / $61.15	Professional		$36.69	$47.76	$61.15