Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Facility		$160.00	$160.00	$160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $151.72 / $172.41	Professional		$137.93	$151.72	$172.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $272.23 / $353.46	Facility		$149.22	$272.23	$353.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $151.72 / $151.72	Professional		$136.55	$151.72	$151.72
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93