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 $1,443.24 / $1,691.86 / $3,842.58	Professional		$1,443.24	$1,691.86	$3,842.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.60 / $2,156.42 / $2,407.52	Professional		$1,761.60	$2,156.42	$2,407.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,441.49 / $2,090.64 / $4,918.50	Facility		$1,441.49	$2,090.64	$4,918.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.14 / $2,340.71 / $2,497.14	Professional		$2,060.14	$2,340.71	$2,497.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,962.71 / $2,187.02	Professional		$32.34	$1,962.71	$2,187.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,340.71 / $2,563.36 / $2,591.32	Professional		$2,340.71	$2,563.36	$2,591.32
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 $1,187.41 / $1,750.95 / $2,889.98	Professional		$1,187.41	$1,750.95	$2,889.98