Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $20.10	Facility		$20.10	$20.10	$20.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $157.54 / $351.32	Professional		$20.10	$157.54	$351.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $87.08 / $192.70	Professional		$45.00	$87.08	$192.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $253.93 / $272.44	Professional		$214.65	$253.93	$272.44
United Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $217.35 / $357.44	Professional		$149.37	$217.35	$357.44