Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $933.25	Facility		$245.47	$537.03	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $85.11	Professional		$39.81	$43.65	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31