Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $300.00 / $762.30	Professional		$299.74	$300.00	$762.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $212.95 / $212.95	Professional		$170.80	$212.95	$212.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $111.15	Professional		$30.00	$45.00	$111.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $96.48 / $120.65	Professional		$84.60	$96.48	$120.65