Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $6,693.00 / $6,693.00	Facility		$6,693.00	$6,693.00	$6,693.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,693.00 / $6,693.00 / $49,326.00	Professional		$6,693.00	$6,693.00	$49,326.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,812.54 / $9,812.54 / $9,812.54	Facility		$9,812.54	$9,812.54	$9,812.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,340.66 / $9,812.54 / $10,106.92	Professional		$8,340.66	$9,812.54	$10,106.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,014.85 / $12,927.18 / $16,805.33	Professional		$8,014.85	$12,927.18	$16,805.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,505.62 / $17,292.83 / $17,292.83	Facility		$15,505.62	$17,292.83	$17,292.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9,847.14 / $12,395.50 / $18,593.25	Professional		$9,847.14	$12,395.50	$18,593.25
United Facility/Professional Professional Modifier Low / Median / High Price $7,301.45 / $7,834.36 / $12,169.09	Professional		$7,301.45	$7,834.36	$12,169.09