Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $98.35 / $111.76	Professional		$89.41	$98.35	$111.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $115.14 / $132.41	Facility		$101.98	$115.14	$132.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
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 $88.52 / $98.35 / $98.35	Professional		$88.52	$98.35	$98.35
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41