Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.27 / $99.04 / $230.10	Facility		$60.27	$99.04	$230.10
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $189.55 / $309.13 / $309.13	Facility	25	$189.55	$309.13	$309.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $87.80 / $239.54	Professional		$44.01	$87.80	$239.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.50 / $86.34 / $205.90	Professional	25	$33.50	$86.34	$205.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.64 / $262.68 / $271.76	Professional	50	$254.64	$262.68	$271.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $120.00 / $183.00	Facility		$118.05	$120.00	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $86.32 / $143.61	Professional		$57.24	$86.32	$143.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $61.47 / $77.63	Professional		$47.35	$61.47	$77.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $88.86 / $111.12	Professional		$67.62	$88.86	$111.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $84.40 / $127.15	Professional		$61.19	$84.40	$127.15