Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.10 / $761.10 / $761.10	Facility		$761.10	$761.10	$761.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $721.74 / $820.16	Professional		$656.12	$721.74	$820.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $1,200.21 / $2,450.96	Facility		$656.12	$1,200.21	$2,450.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.57 / $721.74 / $721.74	Professional		$649.57	$721.74	$721.74
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12