Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $459.43 / $459.43	Facility		$459.43	$459.43	$459.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $596.41 / $5,039.00	Professional		$459.43	$596.41	$5,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Facility		$891.35	$891.35	$891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $891.35 / $1,291.32	Professional		$650.69	$891.35	$1,291.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $1,041.36 / $1,353.78	Professional		$645.64	$1,041.36	$1,353.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,249.08 / $1,393.05 / $1,393.05	Facility		$1,249.08	$1,393.05	$1,393.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $793.25 / $998.54 / $1,497.80	Professional		$793.25	$998.54	$1,497.80
United Facility/Professional Professional Modifier Low / Median / High Price $557.22 / $711.65 / $911.21	Professional		$557.22	$711.65	$911.21