Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $104.11 / $104.11	Facility		$104.11	$104.11	$104.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $98.72 / $112.18	Professional		$89.75	$98.72	$112.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $96.96 / $111.51	Facility		$85.88	$96.96	$111.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $98.72 / $98.72	Professional		$88.85	$98.72	$98.72
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75