Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $23,580.00 / $30,915.00	Facility		$4,500.00	$23,580.00	$30,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Professional		$4,500.00	$4,500.00	$4,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,273.75 / $4,395.55 / $13,776.75	Facility		$4,273.75	$4,395.55	$13,776.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,000.00 / $6,000.00 / $6,000.00	Professional		$6,000.00	$6,000.00	$6,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,150.00 / $5,750.00 / $5,750.00	Facility		$5,150.00	$5,750.00	$5,750.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,177.74 / $5,753.04 / $7,472.95	Professional		$5,177.74	$5,753.04	$7,472.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $3,000.00	Professional		$2,100.00	$2,100.00	$3,000.00