Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.96 / $1,289.96 / $1,289.96	Facility		$1,289.96	$1,289.96	$1,289.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.96 / $1,417.75 / $12,625.70	Professional		$1,289.96	$1,417.75	$12,625.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $2,667.97	Professional		$1,826.95	$2,502.67	$2,667.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,051.53 / $3,308.92 / $4,301.59	Professional		$2,051.53	$3,308.92	$4,301.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,968.91 / $4,426.38 / $4,426.38	Facility		$3,968.91	$4,426.38	$4,426.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,520.53 / $3,172.83 / $4,759.24	Professional		$2,520.53	$3,172.83	$4,759.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,804.14 / $1,998.13 / $2,866.58	Professional		$1,804.14	$1,998.13	$2,866.58