Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.35 / $604.35 / $604.35	Facility		$604.35	$604.35	$604.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.35 / $837.97 / $7,218.64	Professional		$604.35	$837.97	$7,218.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $1,207.69	Professional		$855.93	$1,172.51	$1,207.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $849.30 / $1,369.85 / $1,780.80	Professional		$849.30	$1,369.85	$1,780.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,643.08 / $1,832.46 / $1,832.46	Facility		$1,643.08	$1,832.46	$1,832.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,043.47 / $1,313.51 / $1,970.26	Professional		$1,043.47	$1,313.51	$1,970.26
United Facility/Professional Professional Modifier Low / Median / High Price $845.25 / $936.14 / $1,099.48	Professional		$845.25	$936.14	$1,099.48