Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Facility		$21.60	$21.60	$21.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $25.02 / $211.43	Professional		$21.60	$25.02	$211.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $43.17	Professional		$30.59	$41.91	$43.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $55.45 / $72.08	Professional		$35.00	$55.45	$72.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $74.17 / $74.17	Facility		$66.50	$74.17	$74.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $53.17 / $79.75	Professional		$42.22	$53.17	$79.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $33.15 / $40.24	Professional		$25.71	$33.15	$40.24