Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $1,389.75 / $1,389.75	Facility		$1,389.75	$1,389.75	$1,389.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.75 / $1,527.42 / $13,602.40	Professional		$1,389.75	$1,527.42	$13,602.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $3,077.39	Professional		$2,107.31	$2,886.72	$3,077.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,210.23 / $3,564.89 / $4,634.35	Professional		$2,210.23	$3,564.89	$4,634.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,275.93 / $4,768.80 / $4,768.80	Facility		$4,275.93	$4,768.80	$4,768.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,715.52 / $3,418.28 / $5,127.41	Professional		$2,715.52	$3,418.28	$5,127.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,943.71 / $2,152.71 / $3,088.34	Professional		$1,943.71	$2,152.71	$3,088.34