Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $415.05 / $415.05	Facility		$415.05	$415.05	$415.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.05 / $433.95 / $3,864.54	Professional		$415.05	$433.95	$3,864.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,508.94	Professional		$662.92	$662.92	$1,508.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $583.28 / $940.78 / $1,223.01	Professional		$583.28	$940.78	$1,223.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,128.42 / $1,258.48 / $1,258.48	Facility		$1,128.42	$1,258.48	$1,258.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $716.63 / $902.08 / $1,353.12	Professional		$716.63	$902.08	$1,353.12
United Facility/Professional Professional Modifier Low / Median / High Price $580.49 / $642.91 / $922.34	Professional		$580.49	$642.91	$922.34