Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $1,314.38 / $1,314.38	Facility		$1,314.38	$1,314.38	$1,314.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.38 / $1,762.90 / $15,699.50	Professional		$1,314.38	$1,762.90	$15,699.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $2,990.32	Professional		$1,861.53	$2,550.04	$2,990.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,057.50 / $3,318.56 / $4,314.12	Professional		$2,057.50	$3,318.56	$4,314.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,980.47 / $4,439.27 / $4,439.27	Facility		$3,980.47	$4,439.27	$4,439.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,527.88 / $3,182.07 / $4,773.10	Professional		$2,527.88	$3,182.07	$4,773.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,838.29 / $2,035.96 / $2,913.54	Professional		$1,838.29	$2,035.96	$2,913.54