Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $147.72 / $147.72	Facility		$147.72	$147.72	$147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $147.72 / $153.05	Professional		$144.16	$147.72	$153.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $106.47 / $106.47	Professional		$95.82	$106.47	$106.47
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Professional		$161.79	$161.79	$161.79