Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $44.49 / $44.49	Facility		$44.49	$44.49	$44.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $48.90 / $435.45	Professional		$44.49	$48.90	$435.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $106.64	Professional		$73.02	$100.03	$106.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $114.12 / $148.35	Professional		$70.75	$114.12	$148.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $152.66 / $152.66	Facility		$136.88	$152.66	$152.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $109.43 / $164.15	Professional		$86.93	$109.43	$164.15
United Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $68.92 / $98.86	Professional		$62.22	$68.92	$98.86