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 $2,112.02 / $2,951.54 / $6,217.42	Professional		$2,112.02	$2,951.54	$6,217.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.58 / $3,285.45 / $4,043.87	Professional		$1,959.58	$3,285.45	$4,043.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,086.39 / $3,777.97 / $6,590.47	Facility		$2,086.39	$3,777.97	$6,590.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,503.86 / $3,716.21 / $4,247.10	Professional		$3,503.86	$3,716.21	$4,247.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,951.42 / $3,713.07	Professional		$32.34	$2,951.42	$3,713.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,693.17 / $4,315.72 / $4,388.31	Professional		$3,693.17	$4,315.72	$4,388.31
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 $2,241.35 / $2,986.08 / $4,644.22	Professional		$2,241.35	$2,986.08	$4,644.22