Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,645.44 / $3,673.00	Facility		$475.00	$1,645.44	$3,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $475.00	Professional		$318.75	$318.75	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.00 / $686.40 / $728.00	Facility		$561.00	$686.40	$728.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $433.75 / $554.01 / $1,079.63	Professional		$433.75	$554.01	$1,079.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $593.60 / $740.17 / $1,062.61	Facility		$593.60	$740.17	$1,062.61