Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.16 / $246.90 / $491.52	Facility		$111.16	$246.90	$491.52
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $217.70 / $217.70 / $217.70	Facility	25	$217.70	$217.70	$217.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $161.31 / $491.00	Professional		$42.21	$161.31	$491.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.78 / $186.69 / $509.00	Professional	25	$72.78	$186.69	$509.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $183.00 / $183.00	Facility		$120.00	$183.00	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $176.14 / $304.73	Professional		$124.71	$176.14	$304.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $154.68 / $188.87	Professional		$118.63	$154.68	$188.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $184.02 / $224.07	Professional		$148.00	$184.02	$224.07
United Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $180.84 / $242.49	Professional		$126.08	$180.84	$242.49