Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.76 / $168.76 / $168.76	Facility		$168.76	$168.76	$168.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $160.04 / $181.86	Professional		$145.49	$160.04	$181.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $154.47 / $194.01	Facility		$136.82	$154.47	$194.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
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 $144.04 / $160.04 / $160.04	Professional		$144.04	$160.04	$160.04
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49