Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $58.88	Professional		$54.95	$57.54	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Facility		$58.88	$58.88	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $75.86	Professional		$30.20	$50.12	$75.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Facility		$57.54	$57.54	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18