Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Facility		$25.57	$25.57	$25.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $39.90 / $250.22	Professional		$25.57	$39.90	$250.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $103.13	Professional		$36.22	$36.22	$103.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $65.59 / $85.28	Professional		$40.82	$65.59	$85.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $87.75 / $87.75	Facility		$78.68	$87.75	$87.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $62.90 / $94.35	Professional		$49.97	$62.90	$94.35
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $39.25 / $46.51	Professional		$30.43	$39.25	$46.51