Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.87 / $496.87 / $496.87	Facility		$496.87	$496.87	$496.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.90 / $496.87 / $514.83	Professional		$484.90	$496.87	$514.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $723.95 / $960.79 / $1,295.95	Facility		$723.95	$960.79	$1,295.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $578.71 / $713.09 / $750.59	Professional		$578.71	$713.09	$750.59
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $498.87	Professional		$498.87	$498.87	$498.87