Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $34.83 / $34.83	Facility		$34.83	$34.83	$34.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $54.35 / $340.89	Professional		$34.83	$54.35	$340.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $72.04	Professional		$49.33	$67.56	$72.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $89.35 / $116.15	Professional		$55.60	$89.35	$116.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.17 / $119.52 / $119.52	Facility		$107.17	$119.52	$119.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $85.67 / $128.51	Professional		$68.06	$85.67	$128.51
United Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $53.95 / $63.36	Professional		$48.71	$53.95	$63.36