Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.60 / $292.60 / $292.60	Facility		$292.60	$292.60	$292.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $292.60 / $292.60	Professional		$292.60	$292.60	$292.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.41 / $632.96 / $1,983.85	Facility		$615.41	$632.96	$1,983.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $864.00 / $864.00	Professional		$864.00	$864.00	$864.00
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 Facility Modifier Low / Median / High Price $720.00 / $828.00 / $2,916.00	Facility		$720.00	$828.00	$2,916.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $762.16 / $898.88	Professional		$720.00	$762.16	$898.88
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $432.00	Professional		$302.39	$302.39	$432.00