Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,627.64 / $13,768.80 / $18,051.90	Facility		$2,627.64	$13,768.80	$18,051.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $2,627.64 / $2,627.64	Professional		$2,627.64	$2,627.64	$2,627.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,495.53 / $2,566.65 / $8,044.52	Facility		$2,495.53	$2,566.65	$8,044.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $3,503.52 / $3,503.52	Professional		$3,503.52	$3,503.52	$3,503.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,007.19 / $3,357.54 / $3,357.54	Facility		$3,007.19	$3,357.54	$3,357.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,023.36 / $3,359.29 / $4,363.57	Professional		$3,023.36	$3,359.29	$4,363.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,751.76	Professional		$1,226.23	$1,226.23	$1,751.76