Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,884.03 / $3,890.45	Facility		$478.63	$2,884.03	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $602.56	Professional		$263.03	$316.23	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $724.44	Facility		$562.34	$691.83	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $549.54 / $1,071.52	Professional		$30.20	$549.54	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $1,000.00	Facility		$380.19	$446.68	$1,000.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $575.44	Professional		$380.19	$512.86	$575.44