Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Facility		$14.11	$14.11	$14.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $16.35 / $138.13	Professional		$14.11	$16.35	$138.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $28.20	Professional		$19.98	$27.38	$28.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $44.05 / $60.00	Professional		$35.00	$44.05	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $48.37 / $48.37	Facility		$43.37	$48.37	$48.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $34.67 / $52.01	Professional		$27.55	$34.67	$52.01
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.66 / $26.29	Professional		$16.80	$21.66	$26.29