Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,684.61 / $1,684.61 / $1,684.61	Facility		$1,684.61	$1,684.61	$1,684.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,597.48 / $1,815.32	Professional		$1,452.25	$1,597.48	$1,815.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,822.55 / $2,057.71 / $2,366.38	Facility		$1,822.55	$2,057.71	$2,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,437.73 / $1,597.48 / $1,597.48	Professional		$1,437.73	$1,597.48	$1,597.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25