Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $516.66 / $516.66	Facility		$516.66	$516.66	$516.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.66 / $622.40 / $5,258.51	Professional		$516.66	$622.40	$5,258.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $1,093.05	Professional		$748.49	$1,025.33	$1,093.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $902.25 / $1,455.25 / $1,891.82	Professional		$902.25	$1,455.25	$1,891.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,946.71 / $1,946.71	Facility		$1,745.52	$1,946.71	$1,946.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,108.53 / $1,395.40 / $2,093.10	Professional		$1,108.53	$1,395.40	$2,093.10
United Facility/Professional Professional Modifier Low / Median / High Price $626.64 / $800.32 / $962.51	Professional		$626.64	$800.32	$962.51