Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $1,420.00	Facility		$1,420.00	$1,420.00	$1,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,560.66 / $13,898.50	Professional		$1,420.00	$1,560.66	$13,898.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $5,778.97	Professional		$2,044.88	$2,044.88	$5,778.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,258.30 / $3,642.43 / $4,735.15	Professional		$2,258.30	$3,642.43	$4,735.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,368.93 / $4,872.52 / $4,872.52	Facility		$4,368.93	$4,872.52	$4,872.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,774.58 / $3,492.62 / $5,238.93	Professional		$2,774.58	$3,492.62	$5,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,986.01 / $2,199.56 / $3,155.55	Professional		$1,986.01	$2,199.56	$3,155.55