Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.54 / $89.54 / $89.54	Facility		$89.54	$89.54	$89.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $89.54 / $414.33	Professional		$82.95	$89.54	$414.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $105.45 / $167.19	Professional		$79.00	$105.45	$167.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $122.35	Professional		$30.00	$45.00	$122.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $120.96 / $147.19	Professional		$94.10	$120.96	$147.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $90.40 / $134.19	Professional		$70.06	$90.40	$134.19