Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.59 / $3,038.00 / $4,387.00	Facility		$2,042.59	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,042.59 / $2,042.59 / $3,933.75	Professional		$2,042.59	$2,042.59	$3,933.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.08 / $1,865.99 / $2,430.92	Professional		$1,765.08	$1,865.99	$2,430.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $921.05 / $1,068.65 / $1,538.23	Professional		$921.05	$1,068.65	$1,538.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,688.38 / $2,560.36 / $3,019.16	Professional		$1,688.38	$2,560.36	$3,019.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,312.00 / $2,446.00 / $13,847.00	Facility		$2,312.00	$2,446.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.47 / $1,399.44 / $2,776.31	Professional		$1,272.47	$1,399.44	$2,776.31