Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Facility		$17.48	$17.48	$17.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $133.18	Professional		$17.48	$17.48	$133.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Facility		$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $30.59 / $32.61	Professional		$22.33	$30.59	$32.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $35.00 / $45.52	Professional		$28.60	$35.00	$45.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $46.67 / $46.67	Facility		$41.85	$46.67	$46.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $33.45 / $50.18	Professional		$26.58	$33.45	$50.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $21.12 / $31.82	Professional		$19.07	$21.12	$31.82