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 $2,048.48 / $2,734.58 / $6,251.36	Professional		$2,048.48	$2,734.58	$6,251.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,872.53 / $3,516.36 / $3,925.79	Professional		$2,872.53	$3,516.36	$3,925.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,452.28 / $3,366.78 / $8,001.74	Facility		$2,452.28	$3,366.78	$8,001.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,326.12 / $3,795.94 / $4,031.66	Professional		$3,326.12	$3,795.94	$4,031.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,165.24 / $3,526.98	Professional		$32.34	$3,165.24	$3,526.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,795.94 / $4,144.96 / $4,202.92	Professional		$3,795.94	$4,144.96	$4,202.92
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 $2,124.79 / $3,166.68 / $4,683.32	Professional		$2,124.79	$3,166.68	$4,683.32