Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,047.13	Facility		$446.68	$724.44	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $524.81	Professional		$426.58	$436.52	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $851.14	Facility		$426.58	$426.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $524.81	Professional		$426.58	$426.58	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $501.19	Facility		$407.38	$489.78	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $707.95	Facility		$309.03	$371.54	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $562.34	Professional		$524.81	$524.81	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58