Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.50 / $1,357.50 / $1,357.50	Facility		$1,357.50	$1,357.50	$1,357.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,357.50 / $1,820.74 / $16,214.60	Professional		$1,357.50	$1,820.74	$16,214.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $3,346.47	Professional		$2,371.77	$3,249.00	$3,346.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,113.02 / $3,408.11 / $4,430.54	Professional		$2,113.02	$3,408.11	$4,430.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,087.89 / $4,559.07 / $4,559.07	Facility		$4,087.89	$4,559.07	$4,559.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,596.09 / $3,267.94 / $4,901.91	Professional		$2,596.09	$3,267.94	$4,901.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,898.60 / $2,102.75 / $3,016.67	Professional		$1,898.60	$2,102.75	$3,016.67