Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.96 / $1,673.96 / $1,673.96	Facility		$1,673.96	$1,673.96	$1,673.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,673.96 / $1,673.96 / $13,645.40	Professional		$1,673.96	$1,673.96	$13,645.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $3,199.83	Professional		$2,191.15	$3,001.57	$3,199.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $3,195.59 / $4,154.26	Professional		$60.00	$3,195.59	$4,154.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,832.98 / $4,274.78 / $4,274.78	Facility		$3,832.98	$4,274.78	$4,274.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,434.19 / $3,064.16 / $4,596.24	Professional		$2,434.19	$3,064.16	$4,596.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,645.92 / $1,975.10 / $3,043.56	Professional		$1,645.92	$1,975.10	$3,043.56