Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Facility		$10.14	$10.14	$10.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $11.75 / $99.24	Professional		$10.14	$11.75	$99.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Facility		$23.58	$23.58	$23.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $23.58 / $25.14	Professional		$17.21	$23.58	$25.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $26.09 / $35.00	Professional		$21.31	$26.09	$35.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $34.77 / $34.77	Facility		$31.18	$34.77	$34.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $24.92 / $37.38	Professional		$19.80	$24.92	$37.38
United Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $15.71 / $18.18	Facility		$13.09	$15.71	$18.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.71 / $20.11	Professional		$12.30	$15.71	$20.11