Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $102.05 / $102.05	Facility		$102.05	$102.05	$102.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $96.77 / $109.97	Professional		$87.98	$96.77	$109.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.59 / $125.66 / $215.05	Facility		$110.59	$125.66	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $96.77 / $96.77	Professional		$87.09	$96.77	$96.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98