Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $496.48 / $496.48	Facility		$496.48	$496.48	$496.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.48 / $663.16 / $5,905.80	Professional		$496.48	$663.16	$5,905.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $1,170.83	Professional		$703.15	$963.22	$1,170.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.11 / $1,482.44 / $1,927.17	Professional		$919.11	$1,482.44	$1,927.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.13 / $1,983.08 / $1,983.08	Facility		$1,778.13	$1,983.08	$1,983.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,129.23 / $1,421.47 / $2,132.19	Professional		$1,129.23	$1,421.47	$2,132.19
United Facility/Professional Professional Modifier Low / Median / High Price $694.37 / $769.04 / $1,103.29	Professional		$694.37	$769.04	$1,103.29