Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.51 / $1,448.19 / $2,157.44	Professional		$1,282.51	$1,448.19	$2,157.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.79 / $2,126.07 / $2,373.62	Professional		$1,736.79	$2,126.07	$2,373.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.28 / $2,157.44 / $2,533.92	Facility		$1,432.28	$2,157.44	$2,533.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.90 / $2,105.19 / $2,405.94	Professional		$1,984.90	$2,105.19	$2,405.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,153.64	Professional		$32.34	$32.34	$2,153.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,904.83 / $1,904.83 / $2,323.78	Professional		$1,904.83	$1,904.83	$2,323.78
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 $1,311.50 / $1,824.26 / $2,580.15	Professional		$1,311.50	$1,824.26	$2,580.15