Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $518.77 / $518.77	Facility		$518.77	$518.77	$518.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.77 / $627.86 / $5,304.62	Professional		$518.77	$627.86	$5,304.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,006.48	Facility		$1,006.48	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,886.18	Professional		$734.73	$734.73	$1,886.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $729.03 / $1,175.86 / $1,528.63	Professional		$729.03	$1,175.86	$1,528.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,410.41 / $1,572.97 / $1,572.97	Facility		$1,410.41	$1,572.97	$1,572.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $895.71 / $1,127.50 / $1,691.26	Professional		$895.71	$1,127.50	$1,691.26
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.19 / $803.57 / $966.43	Professional		$629.19	$803.57	$966.43