Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.39 / $675.39 / $675.39	Facility		$675.39	$675.39	$675.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.39 / $675.39 / $5,154.93	Professional		$675.39	$675.39	$5,154.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $1,052.73	Professional		$868.76	$1,022.07	$1,052.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $839.28 / $1,353.69 / $1,759.79	Professional		$839.28	$1,353.69	$1,759.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,623.70 / $1,810.85 / $1,810.85	Facility		$1,623.70	$1,810.85	$1,810.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,031.16 / $1,298.02 / $1,947.03	Professional		$1,031.16	$1,298.02	$1,947.03
United Facility/Professional Professional Modifier Low / Median / High Price $736.79 / $816.02 / $1,227.99	Professional		$736.79	$816.02	$1,227.99