Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.48 / $104.00	Professional		$12.00	$12.48	$104.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $24.10	Professional		$16.22	$22.22	$24.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $22.10 / $35.00	Professional		$18.12	$22.10	$35.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $40.94 / $43.19	Facility		$31.58	$40.94	$43.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $20.39 / $30.59	Professional		$15.48	$20.39	$30.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.24 / $16.97	Professional		$11.31	$14.24	$16.97