Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,377.00 / $1,393.20	Professional		$1,296.00	$1,377.00	$1,393.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.60 / $1,462.86 / $1,762.56	Facility		$1,344.60	$1,462.86	$1,762.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,606.08 / $1,889.51 / $1,889.51	Professional		$1,606.08	$1,889.51	$1,889.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Professional		$1,350.00	$1,350.00	$1,350.00