Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $127.61 / $127.61	Facility		$127.61	$127.61	$127.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $127.61 / $132.22	Professional		$124.54	$127.61	$132.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
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 $56.89 / $66.93 / $69.70	Professional		$56.89	$66.93	$69.70
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $128.13	Professional		$128.13	$128.13	$128.13