Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $1,691.96 / $1,691.96	Facility		$1,691.96	$1,691.96	$1,691.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.96 / $2,269.32 / $20,209.40	Professional		$1,691.96	$2,269.32	$20,209.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $4,061.68	Professional		$2,878.67	$3,943.38	$4,061.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,858.05 / $4,609.76 / $5,992.68	Professional		$2,858.05	$4,609.76	$5,992.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,529.21 / $6,166.52 / $6,166.52	Facility		$5,529.21	$6,166.52	$6,166.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,511.44 / $4,420.16 / $6,630.25	Professional		$3,511.44	$4,420.16	$6,630.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,366.36 / $2,620.82 / $3,759.90	Professional		$2,366.36	$2,620.82	$3,759.90