Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $478.20 / $478.20	Facility		$478.20	$478.20	$478.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.20 / $548.50 / $4,884.62	Professional		$478.20	$548.50	$4,884.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $1,313.59	Professional		$899.51	$1,232.20	$1,313.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $1,199.32 / $1,559.11	Professional		$743.57	$1,199.32	$1,559.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,438.54 / $1,604.35 / $1,604.35	Facility		$1,438.54	$1,604.35	$1,604.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $913.57 / $1,150.00 / $1,724.99	Professional		$913.57	$1,150.00	$1,724.99
United Facility/Professional Professional Modifier Low / Median / High Price $668.81 / $740.73 / $1,062.67	Professional		$668.81	$740.73	$1,062.67