Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.50 / $11,483.50 / $15,055.60	Facility		$2,191.50	$11,483.50	$15,055.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,191.50 / $2,191.50 / $2,191.50	Professional		$2,191.50	$2,191.50	$2,191.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,081.32 / $2,140.63 / $6,709.28	Facility		$2,081.32	$2,140.63	$6,709.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,922.00 / $2,922.00 / $2,922.00	Professional		$2,922.00	$2,922.00	$2,922.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,508.05 / $2,800.25 / $2,800.25	Facility		$2,508.05	$2,800.25	$2,800.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,521.48 / $2,801.65 / $3,639.21	Professional		$2,521.48	$2,801.65	$3,639.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,022.70 / $1,461.00	Professional		$1,022.70	$1,022.70	$1,461.00