Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.23 / $371.23 / $371.23	Facility		$371.23	$371.23	$371.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.23 / $497.91 / $4,434.10	Professional		$371.23	$497.91	$4,434.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $812.21	Facility		$812.21	$812.21	$812.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $886.10	Professional		$592.91	$812.21	$886.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $695.59 / $1,121.92 / $1,458.49	Professional		$695.59	$1,121.92	$1,458.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,345.70 / $1,500.81 / $1,500.81	Facility		$1,345.70	$1,500.81	$1,500.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $1,075.78 / $1,613.67	Professional		$854.61	$1,075.78	$1,613.67
United Facility/Professional Professional Modifier Low / Median / High Price $519.20 / $575.03 / $803.27	Professional		$519.20	$575.03	$803.27