Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $950.61 / $950.61	Facility		$950.61	$950.61	$950.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.61 / $1,055.51 / $9,399.85	Professional		$950.61	$1,055.51	$9,399.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,253.75 / $2,321.36	Professional		$1,915.69	$2,253.75	$2,321.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $538.64 / $1,129.42 / $2,635.09	Professional		$538.64	$1,129.42	$2,635.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,595.67 / $2,894.86 / $2,894.86	Facility		$2,595.67	$2,894.86	$2,894.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,648.43 / $2,075.04 / $3,112.56	Professional		$1,648.43	$2,075.04	$3,112.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.52 / $1,472.48 / $2,112.46	Professional		$1,329.52	$1,472.48	$2,112.46