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 $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $35.95	Professional		$24.62	$33.72	$35.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $36.15 / $47.17	Professional		$29.65	$36.15	$47.17
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 $17.11 / $21.86 / $31.36	Professional		$17.11	$21.86	$31.36