Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $4,265.80	Professional		$1,621.81	$2,754.23	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $398.11	Professional		$251.19	$251.19	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $537.03 / $549.54	Professional		$60.26	$537.03	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $4,677.35	Facility		$446.68	$467.74	$4,677.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $4,677.35	Professional		$446.68	$616.60	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $436.52	Professional		$363.08	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $354.81 / $3,548.13	Facility		$3.63	$354.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $2,630.27	Professional		$213.80	$363.08	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07