Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $277.95 / $277.95	Facility		$277.95	$277.95	$277.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $343.91 / $3,062.66	Professional		$277.95	$343.91	$3,062.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $620.66	Professional		$425.01	$582.20	$620.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $630.01 / $819.01	Professional		$390.60	$630.01	$819.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $755.67 / $842.77 / $842.77	Facility		$755.67	$842.77	$842.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $479.91 / $604.10 / $906.15	Professional		$479.91	$604.10	$906.15
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $388.74 / $430.54 / $616.12	Professional		$388.74	$430.54	$616.12