Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.99 / $117.99 / $117.99	Facility		$117.99	$117.99	$117.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $117.99 / $296.20	Professional		$101.72	$117.99	$296.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.05 / $154.11 / $177.23	Facility		$119.05	$154.11	$177.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $60.00	Professional		$45.00	$60.00	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $111.89 / $122.37	Professional		$100.70	$111.89	$122.37
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72