Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $358.75 / $358.75	Facility		$358.75	$358.75	$358.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $358.75 / $358.75	Professional		$358.75	$358.75	$358.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,666.76 / $1,714.27 / $5,372.93	Facility		$1,666.76	$1,714.27	$5,372.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $2,340.00	Professional		$2,340.00	$2,340.00	$2,340.00
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 $1,950.00 / $2,242.50 / $2,242.50	Facility		$1,950.00	$2,242.50	$2,242.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,032.28 / $2,243.61	Professional		$1,950.00	$2,032.28	$2,243.61
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $1,170.00	Professional		$819.00	$819.00	$1,170.00