Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $30.87 / $30.87	Facility		$30.87	$30.87	$30.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $35.76 / $302.13	Professional		$30.87	$35.76	$302.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $59.89	Facility		$59.89	$59.89	$59.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $59.89 / $61.69	Professional		$43.72	$59.89	$61.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $79.16 / $102.90	Professional		$49.26	$79.16	$102.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $105.90 / $105.90	Facility		$94.96	$105.90	$105.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $75.91 / $113.86	Professional		$60.31	$75.91	$113.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $47.81 / $57.50	Professional		$36.72	$47.81	$57.50