Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.24 / $835.24 / $835.24	Facility		$835.24	$835.24	$835.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.24 / $4,483.93 / $4,536.68	Professional		$835.24	$4,483.93	$4,536.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.17 / $4,536.68 / $6,487.45	Facility		$2,667.17	$4,536.68	$6,487.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $638.96 / $1,628.72	Professional		$30.00	$638.96	$1,628.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $835.24 / $1,002.29 / $1,044.05	Professional		$835.24	$1,002.29	$1,044.05
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $7,385.29	Professional		$5,275.21	$5,275.21	$7,385.29