Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $117.96	Facility		$63.99	$63.99	$117.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $63.99 / $125.21	Professional		$63.99	$63.99	$125.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $70.78 / $81.40	Facility		$55.16	$70.78	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $55.16	Professional		$54.58	$55.16	$55.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $53.59 / $71.70	Professional		$33.22	$53.59	$71.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $66.19	Professional		$55.16	$55.16	$66.19
United Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $55.16 / $55.16	Professional		$52.40	$55.16	$55.16