Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.69 / $11,547.40 / $15,139.40	Facility		$2,203.69	$11,547.40	$15,139.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,203.69 / $2,203.69	Professional		$2,203.69	$2,203.69	$2,203.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,092.90 / $2,152.55 / $6,746.62	Facility		$2,092.90	$2,152.55	$6,746.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $2,938.27 / $2,938.27	Professional		$2,938.27	$2,938.27	$2,938.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $60.00	Professional		$45.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,522.02 / $2,815.84 / $2,938.27	Facility		$2,522.02	$2,815.84	$2,938.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,535.62 / $2,817.35 / $3,659.61	Professional		$2,535.62	$2,817.35	$3,659.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $1,469.14	Professional		$1,028.40	$1,028.40	$1,469.14