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 $425.00 / $425.00 / $475.00	Professional		$425.00	$425.00	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $378.22 / $471.61 / $677.06	Facility		$378.22	$471.61	$677.06