Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.08 / $132.08 / $283.04	Facility		$132.08	$132.08	$283.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $123.69 / $123.69 / $123.69	Facility	25	$123.69	$123.69	$123.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $125.06 / $204.00	Professional		$2.70	$125.06	$204.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $103.83 / $140.08 / $400.00	Professional	25	$103.83	$140.08	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $122.33 / $150.06	Professional		$94.37	$122.33	$150.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $153.19 / $174.09	Professional		$134.78	$153.19	$174.09
United Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $126.75 / $196.10	Professional		$100.75	$126.75	$196.10