Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $622.02 / $622.02	Facility		$622.02	$622.02	$622.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.02 / $659.54 / $5,572.30	Professional		$622.02	$659.54	$5,572.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $1,385.49	Professional		$880.96	$1,206.80	$1,385.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,165.51 / $1,879.87 / $2,443.83	Professional		$1,165.51	$1,879.87	$2,443.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,254.83 / $2,514.73 / $2,514.73	Facility		$2,254.83	$2,514.73	$2,514.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,431.97 / $1,802.56 / $2,703.83	Professional		$1,431.97	$1,802.56	$2,703.83
United Facility/Professional Professional Modifier Low / Median / High Price $754.42 / $963.51 / $1,158.79	Professional		$754.42	$963.51	$1,158.79