Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $410.67 / $410.67	Facility		$410.67	$410.67	$410.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $580.57 / $4,905.12	Professional		$410.67	$580.57	$4,905.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $1,089.07	Professional		$771.87	$1,057.34	$1,089.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $578.07 / $932.38 / $1,212.09	Professional		$578.07	$932.38	$1,212.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,118.34 / $1,247.26 / $1,247.26	Facility		$1,118.34	$1,247.26	$1,247.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $710.24 / $894.03 / $1,341.05	Professional		$710.24	$894.03	$1,341.05
United Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $636.11 / $814.49	Professional		$498.07	$636.11	$814.49