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
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.77 / $552.83 / $1,075.10	Professional		$430.77	$552.83	$1,075.10
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