Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $89.83 / $133.38	Facility		$89.83	$89.83	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $104.17 / $181.90	Professional		$60.23	$104.17	$181.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $73.77 / $230.00	Professional	25	$14.48	$73.77	$230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $110.37 / $205.53	Professional		$55.00	$110.37	$205.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $89.98 / $110.94	Professional		$69.52	$89.98	$110.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $129.94 / $177.53	Professional		$85.41	$129.94	$177.53
United Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $115.17 / $176.97	Professional		$96.46	$115.17	$176.97