Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $311.26 / $757.40	Facility		$210.48	$311.26	$757.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $47.16 / $165.28	Professional		$40.65	$47.16	$165.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $59.78 / $63.19	Facility		$48.67	$59.78	$63.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $41.88 / $60.00	Professional		$29.31	$41.88	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $48.78 / $52.72	Professional		$40.65	$48.78	$52.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65