Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $128.94 / $128.94	Facility		$128.94	$128.94	$128.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $122.27 / $138.94	Professional		$111.15	$122.27	$138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.31 / $474.49 / $552.54	Facility		$387.31	$474.49	$552.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
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 $110.04 / $122.27 / $122.27	Professional		$110.04	$122.27	$122.27
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15