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 $1,219.57 / $1,616.58 / $3,673.81	Professional		$1,219.57	$1,616.58	$3,673.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,684.25 / $2,061.75 / $2,301.81	Professional		$1,684.25	$2,061.75	$2,301.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,451.00 / $1,996.93 / $4,702.47	Facility		$1,451.00	$1,996.93	$4,702.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.42 / $2,237.59 / $2,387.17	Professional		$1,969.42	$2,237.59	$2,387.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,875.67 / $2,090.03	Professional		$32.34	$1,875.67	$2,090.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,237.60 / $2,448.05 / $2,477.41	Professional		$2,237.60	$2,448.05	$2,477.41
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 $1,219.96 / $1,812.51 / $2,700.87	Professional		$1,219.96	$1,812.51	$2,700.87