Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $31.44 / $31.44	Facility		$31.44	$31.44	$31.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $115.58 / $167.88	Professional		$31.44	$115.58	$167.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $172.13 / $228.25	Professional		$136.08	$172.13	$228.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $115.80 / $150.89	Professional		$90.53	$115.80	$150.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $161.91 / $179.81	Professional		$137.63	$161.91	$179.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $126.83 / $182.07	Professional		$95.12	$126.83	$182.07