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 $1,328.09 / $1,845.99 / $3,893.53	Professional		$1,328.09	$1,845.99	$3,893.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.72 / $2,059.53 / $2,540.42	Professional		$1,272.72	$2,059.53	$2,540.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.33 / $2,362.87 / $4,127.14	Facility		$1,308.33	$2,362.87	$4,127.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.30 / $2,313.50 / $2,644.00	Professional		$2,181.30	$2,313.50	$2,644.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,836.07 / $2,309.89	Professional		$32.34	$1,836.07	$2,309.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,304.62 / $2,697.82 / $2,743.20	Professional		$2,304.62	$2,697.82	$2,743.20
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 $1,419.83 / $1,932.55 / $2,926.69	Professional		$1,419.83	$1,932.55	$2,926.69