Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.87 / $268.39 / $306.94	Facility		$138.87	$268.39	$306.94
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $286.85 / $286.85 / $286.85	Facility	25	$286.85	$286.85	$286.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $177.29 / $539.00	Professional		$102.84	$177.29	$539.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $104.02 / $180.00 / $554.58	Professional	25	$104.02	$180.00	$554.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $183.00 / $217.61	Facility		$120.00	$183.00	$217.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $190.10 / $301.95	Professional		$139.40	$190.10	$301.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $154.68 / $194.07	Professional		$118.63	$154.68	$194.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $192.42 / $254.90	Professional		$139.04	$192.42	$254.90
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $183.80 / $272.62	Professional		$137.55	$183.80	$272.62