Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $1,514.15 / $1,514.15	Facility		$1,514.15	$1,514.15	$1,514.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.15 / $2,015.54 / $17,949.30	Professional		$1,514.15	$2,015.54	$17,949.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,798.08 / $4,048.94	Professional		$2,772.60	$3,798.08	$4,048.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,494.00 / $4,007.82 / $5,210.16	Professional		$2,494.00	$4,007.82	$5,210.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,807.22 / $5,361.31 / $5,361.31	Facility		$4,807.22	$5,361.31	$5,361.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,052.92 / $3,842.99 / $5,764.48	Professional		$3,052.92	$3,842.99	$5,764.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,117.69 / $2,345.41 / $3,356.38	Professional		$2,117.69	$2,345.41	$3,356.38