Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.64 / $453.64 / $453.64	Facility		$453.64	$453.64	$453.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $394.98 / $488.84	Professional		$391.07	$394.98	$488.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.35 / $494.82 / $550.97	Facility		$424.35	$494.82	$550.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $391.07 / $497.99	Professional		$60.00	$391.07	$497.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.67 / $739.15 / $1,030.54	Facility		$575.67	$739.15	$1,030.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $430.18 / $530.07 / $557.94	Professional		$430.18	$530.07	$557.94
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07