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 $548.12 / $934.59 / $1,938.58	Professional		$548.12	$934.59	$1,938.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.19 / $1,047.45 / $1,263.09	Professional		$761.19	$1,047.45	$1,263.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $818.38 / $1,589.95 / $2,481.38	Facility		$818.38	$1,589.95	$2,481.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,208.96 / $1,422.31 / $1,436.59	Professional		$1,208.96	$1,422.31	$1,436.59
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 $674.41 / $901.80 / $1,498.90	Professional		$674.41	$901.80	$1,498.90