Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.54 / $102.54 / $380.50	Facility		$102.54	$102.54	$380.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $102.54 / $106.93	Professional		$83.34	$102.54	$106.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $124.52 / $159.22	Professional		$95.83	$124.52	$159.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $42.05 / $121.09	Professional		$32.57	$42.05	$121.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $172.07 / $202.43	Professional		$129.38	$172.07	$202.43
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $148.09	Professional		$89.75	$89.75	$148.09