Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.55 / $14.55	Facility		$14.55	$14.55	$14.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $15.99 / $142.37	Professional		$14.55	$15.99	$142.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Facility		$40.14	$40.14	$40.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $40.14 / $58.50	Professional		$34.11	$40.14	$58.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $37.31 / $48.68	Professional		$30.59	$37.31	$48.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $49.91 / $49.91	Facility		$44.76	$49.91	$49.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $35.78 / $53.67	Professional		$28.42	$35.78	$53.67
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.54 / $32.33	Professional		$20.35	$22.54	$32.33