Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $110.80 / $110.80	Facility		$110.80	$110.80	$110.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $110.80 / $172.34	Professional		$84.35	$110.80	$172.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $123.87 / $154.91	Professional		$97.10	$123.87	$154.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $64.69 / $80.86	Professional		$49.68	$64.69	$80.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $104.12 / $139.81	Professional		$79.70	$104.12	$139.81
United Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $125.87 / $179.84	Professional		$84.16	$125.87	$179.84