Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,096.96 / $17,253.50 / $31,492.45	Facility		$3,096.96	$17,253.50	$31,492.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,818.79 / $18,759.00 / $18,759.00	Facility	50	$8,818.79	$18,759.00	$18,759.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,329.32 / $1,861.37 / $3,450.00	Professional		$1,329.32	$1,861.37	$3,450.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $168.45 / $236.74 / $974.39	Professional	AS	$168.45	$236.74	$974.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,111.35 / $11,111.35 / $11,142.59	Facility		$11,111.35	$11,111.35	$11,142.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.30 / $1,942.25 / $2,418.92	Professional		$1,444.30	$1,942.25	$2,418.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.98 / $2,604.39 / $3,387.05	Facility		$1,243.98	$2,604.39	$3,387.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.09 / $2,263.73 / $2,975.57	Professional		$2,075.09	$2,263.73	$2,975.57
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $70.34 / $70.34 / $235.99	Professional	AS	$70.34	$70.34	$235.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,771.20 / $2,228.28	Professional		$32.34	$1,771.20	$2,228.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,725.34 / $34,178.19 / $43,515.35	Facility		$23,725.34	$34,178.19	$43,515.35
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $35,588.01 / $52,855.34 / $65,273.03	Facility	50	$35,588.01	$52,855.34	$65,273.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,185.09 / $2,570.69 / $2,975.58	Professional		$2,185.09	$2,570.69	$2,975.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $12,000.00 / $45,126.00	Facility		$4,800.00	$12,000.00	$45,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.07 / $2,041.66 / $3,005.74	Professional		$1,488.07	$2,041.66	$3,005.74