Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $352.15 / $352.15	Facility		$352.15	$352.15	$352.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.15 / $472.32 / $4,206.26	Professional		$352.15	$472.32	$4,206.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $719.79 / $840.56	Professional		$525.45	$719.79	$840.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $659.84 / $1,064.27 / $1,383.55	Professional		$659.84	$1,064.27	$1,383.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,276.55 / $1,423.68 / $1,423.68	Facility		$1,276.55	$1,423.68	$1,423.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $810.69 / $1,020.50 / $1,530.74	Professional		$810.69	$1,020.50	$1,530.74
United Facility/Professional Professional Modifier Low / Median / High Price $492.52 / $545.48 / $782.56	Professional		$492.52	$545.48	$782.56