Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,398.83 / $5,248.07	Facility		$489.78	$2,398.83	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $512.86	Professional		$354.81	$416.87	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $1,348.96	Facility		$549.54	$1,174.90	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $758.58	Professional		$602.56	$602.56	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $912.01	Facility		$478.63	$575.44	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,584.89	Facility		$524.81	$912.01	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $630.96	Professional		$478.63	$478.63	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,380.38	Facility		$549.54	$794.33	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $524.81	Professional		$398.11	$478.63	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $630.96	Facility		$524.81	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $524.81	Professional		$218.78	$218.78	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $954.99	Professional		$234.42	$234.42	$954.99