Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $266.05 / $371.16	Facility		$89.45	$266.05	$371.16
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $147.19 / $309.13 / $309.13	Facility	25	$147.19	$309.13	$309.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $119.77 / $333.00	Professional		$35.00	$119.77	$333.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $40.00 / $124.15 / $364.00	Professional	25	$40.00	$124.15	$364.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $287.60 / $287.60 / $287.60	Professional	50	$287.60	$287.60	$287.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $166.95 / $183.00	Facility		$120.00	$166.95	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $128.11 / $217.89	Professional		$88.44	$128.11	$217.89
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 $99.69 / $130.86 / $165.47	Professional		$99.69	$130.86	$165.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $125.46 / $184.63	Professional		$91.80	$125.46	$184.63