Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $38.70 / $38.70	Facility		$38.70	$38.70	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $53.67 / $462.31	Professional		$38.70	$53.67	$462.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $75.09 / $80.05	Professional		$54.82	$75.09	$80.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $96.22 / $125.08	Professional		$59.87	$96.22	$125.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.41 / $128.71 / $128.71	Facility		$115.41	$128.71	$128.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $92.26 / $138.38	Professional		$73.29	$92.26	$138.38
United Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $59.95 / $76.76	Professional		$46.06	$59.95	$76.76