Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $26.46	Facility		$26.46	$26.46	$26.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $30.65 / $258.97	Professional		$26.46	$30.65	$258.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $57.03 / $58.74	Professional		$41.63	$57.03	$58.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $67.83 / $88.17	Professional		$42.20	$67.83	$88.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $90.74 / $90.74	Facility		$81.36	$90.74	$90.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $65.04 / $97.57	Professional		$51.68	$65.04	$97.57
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $40.98 / $67.31	Professional		$32.08	$40.98	$67.31