Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $84.93 / $468.80	Professional		$84.93	$84.93	$468.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $179.25	Professional		$104.98	$123.50	$179.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $108.07 / $155.76	Professional		$74.28	$108.07	$155.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $159.69 / $179.91	Facility		$159.69	$159.69	$179.91
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $93.47 / $188.73	Professional		$78.36	$93.47	$188.73