Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $130.31 / $230.77	Facility		$76.55	$130.31	$230.77
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $215.90 / $216.54 / $216.54	Facility	25	$215.90	$216.54	$216.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $116.78 / $355.57	Professional		$65.78	$116.78	$355.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.82 / $118.60 / $340.00	Professional	25	$60.82	$118.60	$340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $146.68 / $183.00	Facility		$120.00	$146.68	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $122.00 / $193.79	Professional		$86.24	$122.00	$193.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $122.33 / $150.06	Professional		$94.37	$122.33	$150.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $121.09 / $166.85	Professional		$84.95	$121.09	$166.85
United Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $120.78 / $176.76	Professional		$89.25	$120.78	$176.76