Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Facility		$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $78.70 / $89.44	Professional		$71.55	$78.70	$89.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $83.36 / $170.24	Facility		$54.98	$83.36	$170.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $18.42 / $60.00	Professional		$16.85	$18.42	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $78.70 / $78.70	Professional		$66.90	$78.70	$78.70
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55