Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,659.59	Facility		$977.24	$1,174.90	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,584.89	Professional		$812.83	$977.24	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $363.08 / $478.63	Facility		$169.82	$363.08	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $741.31 / $912.01	Professional		$151.36	$741.31	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $416.87 / $691.83	Facility		$162.18	$416.87	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $933.25	Facility		$354.81	$489.78	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,548.82	Professional		$1,479.11	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,148.15	Facility		$478.63	$645.65	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25