Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Facility		$14.99	$14.99	$14.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $28.13 / $146.71	Professional		$14.99	$28.13	$146.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Facility		$34.89	$34.89	$34.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $34.89 / $37.19	Professional		$25.47	$34.89	$37.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $46.82 / $60.00	Professional		$35.00	$46.82	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $51.42 / $51.42	Facility		$46.11	$51.42	$51.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $36.86 / $55.28	Professional		$29.28	$36.86	$55.28
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $23.21 / $27.26	Professional		$17.84	$23.21	$27.26