Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $3,584.16 / $4,699.08	Facility		$684.00	$3,584.16	$4,699.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $684.00	Professional		$684.00	$684.00	$684.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.61 / $668.12 / $2,094.07	Facility		$649.61	$668.12	$2,094.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Professional		$912.00	$912.00	$912.00
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 $760.00 / $874.00 / $912.00	Facility		$760.00	$874.00	$912.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.18 / $786.95 / $1,054.21	Professional		$691.18	$786.95	$1,054.21
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $456.00	Professional		$319.20	$319.20	$456.00