Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.48 / $187.48 / $187.48	Facility		$187.48	$187.48	$187.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $177.79 / $202.03	Professional		$161.62	$177.79	$202.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.81 / $226.91 / $260.95	Facility		$196.81	$226.91	$260.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $198.52	Professional		$30.00	$45.00	$198.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $177.79 / $177.79	Professional		$160.01	$177.79	$177.79
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62