Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $16,977.59 / $22,258.80	Facility		$3,240.00	$16,977.59	$22,258.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,240.00	Professional		$3,240.00	$3,240.00	$3,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,077.10 / $3,164.80 / $9,919.26	Facility		$3,077.10	$3,164.80	$9,919.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $4,320.00 / $4,320.00	Professional		$4,320.00	$4,320.00	$4,320.00
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 $3,708.00 / $4,140.00 / $4,320.00	Facility		$3,708.00	$4,140.00	$4,320.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,727.93 / $4,142.14 / $5,380.46	Professional		$3,727.93	$4,142.14	$5,380.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $2,160.00	Professional		$1,512.00	$1,512.00	$2,160.00