Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.10 / $442.10 / $442.10	Facility		$442.10	$442.10	$442.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.10 / $625.01 / $5,280.61	Professional		$442.10	$625.01	$5,280.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $857.71	Facility		$857.71	$857.71	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $857.71 / $883.44	Professional		$626.13	$857.71	$883.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $621.28 / $1,002.08 / $1,302.70	Professional		$621.28	$1,002.08	$1,302.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,201.95 / $1,340.49 / $1,340.49	Facility		$1,201.95	$1,340.49	$1,340.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $763.32 / $960.86 / $1,441.29	Professional		$763.32	$960.86	$1,441.29
United Facility/Professional Professional Modifier Low / Median / High Price $536.20 / $684.80 / $868.88	Professional		$536.20	$684.80	$868.88