Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $2,183.92 / $2,863.28	Facility		$416.78	$2,183.92	$2,863.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $366.40 / $1,148.39	Facility		$356.25	$366.40	$1,148.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $500.14 / $500.14	Professional		$500.14	$500.14	$500.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $479.30 / $500.14	Facility		$416.78	$479.30	$500.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $431.57 / $531.40 / $590.42	Professional		$431.57	$531.40	$590.42
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $175.07 / $250.10	Professional		$165.11	$175.07	$250.10