Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.02 / $1,616.02 / $1,616.02	Facility		$1,616.02	$1,616.02	$1,616.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,532.43 / $1,741.40	Professional		$1,393.12	$1,532.43	$1,741.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,873.78 / $3,826.45	Facility		$1,393.12	$1,873.78	$3,826.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
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 $1,379.19 / $1,532.43 / $1,532.43	Professional		$1,379.19	$1,532.43	$1,532.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12