Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $457.00 / $457.00	Facility		$457.00	$457.00	$457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $502.14 / $4,471.79	Professional		$457.00	$502.14	$4,471.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $945.19	Professional		$647.24	$886.63	$945.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $728.07 / $1,174.32 / $1,526.61	Professional		$728.07	$1,174.32	$1,526.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.55 / $1,570.90 / $1,570.90	Facility		$1,408.55	$1,570.90	$1,570.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $894.52 / $1,126.02 / $1,689.03	Professional		$894.52	$1,126.02	$1,689.03
United Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $707.89 / $1,013.01	Professional		$654.50	$707.89	$1,013.01