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 $2,399.55 / $2,528.14 / $4,525.95	Professional		$2,399.55	$2,528.14	$4,525.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,588.91 / $3,169.17 / $3,538.18	Professional		$2,588.91	$3,169.17	$3,538.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,847.59 / $3,433.68 / $4,797.51	Facility		$1,847.59	$3,433.68	$4,797.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,204.98 / $3,341.52 / $3,884.82	Professional		$3,204.98	$3,341.52	$3,884.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,939.35	Professional		$32.34	$32.34	$2,939.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,987.00 / $3,987.00 / $4,374.93	Professional		$3,987.00	$3,987.00	$4,374.93
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 $1,796.65 / $2,365.78 / $4,200.99	Professional		$1,796.65	$2,365.78	$4,200.99