Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.20 / $117.20 / $117.20	Facility		$117.20	$117.20	$117.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $117.20 / $387.22	Professional		$101.03	$117.20	$387.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.87 / $139.59 / $160.53	Facility		$122.87	$139.59	$160.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $81.88 / $102.35	Professional		$57.31	$81.88	$102.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $111.13 / $159.97	Professional		$100.02	$111.13	$159.97
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03