Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $25.26 / $25.26	Facility		$25.26	$25.26	$25.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $27.76 / $247.27	Professional		$25.26	$27.76	$247.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $101.63	Professional		$59.25	$69.70	$101.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $64.80 / $84.24	Professional		$40.32	$64.80	$84.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $86.68 / $86.68	Facility		$77.72	$86.68	$86.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $62.13 / $93.20	Professional		$49.36	$62.13	$93.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $39.13 / $56.14	Professional		$35.33	$39.13	$56.14