Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.50 / $1,521.97 / $3,468.86	Professional		$1,301.50	$1,521.97	$3,468.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.74 / $1,943.61 / $2,169.92	Professional		$1,587.74	$1,943.61	$2,169.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.18 / $1,878.46 / $4,440.14	Facility		$1,320.18	$1,878.46	$4,440.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.34 / $2,113.08 / $2,241.62	Professional		$1,849.34	$2,113.08	$2,241.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,769.23 / $1,971.43	Professional		$32.34	$1,769.23	$1,971.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,113.08 / $2,294.09 / $2,328.92	Professional		$2,113.08	$2,294.09	$2,328.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.47 / $1,709.50 / $2,500.46	Professional		$1,219.47	$1,709.50	$2,500.46