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 $1,228.07 / $1,622.61 / $3,013.34	Professional		$1,228.07	$1,622.61	$3,013.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.49 / $1,861.99 / $2,229.11	Professional		$1,396.49	$1,861.99	$2,229.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.55 / $2,157.66 / $3,465.34	Facility		$1,166.55	$2,157.66	$3,465.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.70 / $2,179.31 / $2,902.96	Professional		$1,997.70	$2,179.31	$2,902.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,712.58 / $2,154.54	Professional		$32.34	$1,712.58	$2,154.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,111.44 / $2,484.05 / $2,902.97	Professional		$2,111.44	$2,484.05	$2,902.97
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.59 / $1,836.50 / $2,535.39	Professional		$1,250.59	$1,836.50	$2,535.39