Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,788.50 / $4,788.50 / $4,788.50	Facility		$4,788.50	$4,788.50	$4,788.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,788.50	Professional		$4,128.02	$4,128.02	$4,788.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,667.12 / $5,442.61 / $6,059.73	Facility		$4,667.12	$5,442.61	$6,059.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $4,128.02 / $5,366.42	Professional		$67.13	$4,128.02	$5,366.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,631.40 / $7,791.38 / $11,185.65	Facility		$5,631.40	$7,791.38	$11,185.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,540.82 / $5,595.21 / $5,889.44	Professional		$4,540.82	$5,595.21	$5,889.44
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02