Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Facility		$46.48	$46.48	$46.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $60.05 / $127.47	Professional		$46.48	$60.05	$127.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
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 $93.32 / $109.79 / $109.79	Professional		$93.32	$109.79	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $91.30	Professional		$91.30	$91.30	$91.30