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 $1,819.73 / $2,057.71 / $4,777.29	Professional		$1,819.73	$2,057.71	$4,777.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,184.31 / $2,673.89 / $2,985.22	Professional		$2,184.31	$2,673.89	$2,985.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,892.84 / $2,525.98 / $6,114.93	Facility		$1,892.84	$2,525.98	$6,114.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,544.23 / $2,895.78 / $3,083.92	Professional		$2,544.23	$2,895.78	$3,083.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,416.46	Professional		$32.34	$32.34	$2,416.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,895.78 / $3,168.54 / $3,208.30	Professional		$2,895.78	$3,168.54	$3,208.30
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 $1,703.07 / $2,430.00 / $3,707.50	Professional		$1,703.07	$2,430.00	$3,707.50