Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Facility		$92.85	$92.85	$92.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $88.04 / $100.05	Professional		$80.04	$88.04	$100.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.25 / $730.36 / $948.29	Facility		$93.25	$730.36	$948.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
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 $79.23 / $88.04 / $88.04	Professional		$79.23	$88.04	$88.04
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04