Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $31.51 / $31.51	Facility		$31.51	$31.51	$31.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $58.75 / $376.36	Professional		$31.51	$58.75	$376.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $76.95	Professional		$52.69	$72.18	$76.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $95.22 / $123.78	Professional		$59.25	$95.22	$123.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $127.39 / $127.39	Facility		$114.22	$127.39	$127.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $91.31 / $136.96	Professional		$72.54	$91.31	$136.96
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $48.81 / $62.49	Professional		$37.50	$48.81	$62.49