Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.66 / $827.66 / $827.66	Facility		$827.66	$827.66	$827.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $784.85 / $891.88	Professional		$713.50	$784.85	$891.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,136.27 / $1,691.54 / $1,945.27	Facility		$1,136.27	$1,691.54	$1,945.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
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 $706.37 / $784.85 / $784.85	Professional		$706.37	$784.85	$784.85
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50