Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.67 / $699.67 / $699.67	Facility		$699.67	$699.67	$699.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.67 / $937.81 / $8,351.67	Professional		$699.67	$937.81	$8,351.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $1,705.66	Professional		$1,167.99	$1,599.98	$1,705.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,103.50 / $1,779.84 / $2,313.79	Professional		$1,103.50	$1,779.84	$2,313.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,134.85 / $2,380.92 / $2,380.92	Facility		$2,134.85	$2,380.92	$2,380.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,355.79 / $1,706.64 / $2,559.96	Professional		$1,355.79	$1,706.64	$2,559.96
United Facility/Professional Professional Modifier Low / Median / High Price $978.56 / $1,083.78 / $1,554.82	Professional		$978.56	$1,083.78	$1,554.82