Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $34.22 / $289.22	Professional		$29.54	$34.22	$289.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $118.88	Professional		$41.84	$41.84	$118.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $75.76 / $98.48	Professional		$47.14	$75.76	$98.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.87 / $101.35 / $101.35	Facility		$90.87	$101.35	$101.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $72.65 / $108.97	Professional		$57.72	$72.65	$108.97
United Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $45.77 / $65.65	Professional		$35.84	$45.77	$65.65