Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.88 / $368.88 / $368.88	Facility		$368.88	$368.88	$368.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $349.80 / $397.50	Professional		$318.00	$349.80	$397.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.67 / $489.82 / $650.75	Facility		$318.67	$489.82	$650.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
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 $314.82 / $349.80 / $349.80	Professional		$314.82	$349.80	$349.80
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00