Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $223.87	Facility		$112.20	$112.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $38.02	Facility		$20.89	$28.18	$38.02