Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.73 / $908.73 / $908.73	Facility		$908.73	$908.73	$908.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.15 / $908.73 / $4,008.92	Professional		$695.15	$908.73	$4,008.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $742.55 / $2,350.76	Facility		$607.24	$742.55	$2,350.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.30 / $795.52 / $1,371.46	Professional		$612.30	$795.52	$1,371.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $567.68 / $765.22	Professional		$62.33	$567.68	$765.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $897.56 / $1,133.73 / $1,789.84	Facility		$897.56	$1,133.73	$1,789.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,018.21 / $1,773.44 / $2,039.44	Professional		$1,018.21	$1,773.44	$2,039.44
United Facility/Professional Professional Modifier Low / Median / High Price $696.17 / $1,060.49 / $1,157.40	Professional		$696.17	$1,060.49	$1,157.40