Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $592.83 / $592.83	Facility		$592.83	$592.83	$592.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.83 / $795.12 / $7,080.92	Professional		$592.83	$795.12	$7,080.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $1,450.73	Professional		$1,028.19	$1,408.48	$1,450.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,110.80 / $1,791.62 / $2,329.10	Professional		$1,110.80	$1,791.62	$2,329.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,148.98 / $2,396.67 / $2,396.67	Facility		$2,148.98	$2,396.67	$2,396.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,364.76 / $1,717.93 / $2,576.90	Professional		$1,364.76	$1,717.93	$2,576.90
United Facility/Professional Professional Modifier Low / Median / High Price $829.13 / $918.28 / $1,317.39	Professional		$829.13	$918.28	$1,317.39