Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $51.37 / $51.37	Facility		$51.37	$51.37	$51.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $68.89 / $613.53	Professional		$51.37	$68.89	$613.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $99.66 / $106.24	Professional		$72.75	$99.66	$106.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $120.48 / $156.62	Professional		$74.69	$120.48	$156.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.52 / $161.16 / $161.16	Facility		$144.52	$161.16	$161.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $115.53 / $173.29	Professional		$91.78	$115.53	$173.29
United Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $79.56 / $114.15	Professional		$71.84	$79.56	$114.15