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 $2,991.63 / $3,655.93 / $9,643.73	Facility		$2,991.63	$3,655.93	$9,643.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $3,503.52 / $13,576.14	Facility		$3,503.52	$3,503.52	$13,576.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,644.57 / $3,644.57 / $4,049.52	Professional		$3,644.57	$3,644.57	$4,049.52
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