Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,619.67 / $3,038.00 / $4,387.00	Facility		$2,619.67	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,619.67 / $2,619.67 / $5,314.09	Professional		$2,619.67	$2,619.67	$5,314.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,402.94 / $2,567.69 / $5,079.85	Professional		$2,402.94	$2,567.69	$5,079.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $1,253.84 / $1,714.62	Professional		$133.18	$1,253.84	$1,714.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,301.08 / $3,524.49 / $4,712.39	Professional		$2,301.08	$3,524.49	$4,712.39
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 $1,733.16 / $2,116.81 / $3,781.45	Professional		$1,733.16	$2,116.81	$3,781.45