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 $426.58 / $426.58 / $1,905.46	Professional		$426.58	$426.58	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $724.44	Facility		$562.34	$691.83	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $1,548.82	Facility		$602.56	$724.44	$1,548.82