Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,858.00 / $3,038.00 / $4,387.00	Facility		$1,858.00	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,858.00 / $1,858.00 / $3,359.64	Professional		$1,858.00	$1,858.00	$3,359.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.17 / $1,648.52 / $1,843.94	Professional		$1,558.17	$1,648.52	$1,843.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $787.64 / $1,091.79	Professional		$69.23	$787.64	$1,091.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,455.58 / $2,225.78 / $2,618.56	Professional		$1,455.58	$2,225.78	$2,618.56
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 $1,094.94 / $1,360.01 / $2,388.94	Professional		$1,094.94	$1,360.01	$2,388.94