Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $3,990.00	Facility		$3,990.00	$3,990.00	$3,990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,140.14 / $3,990.00 / $5,214.13	Professional		$3,140.14	$3,990.00	$5,214.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,542.50 / $4,063.50 / $7,456.21	Facility		$2,542.50	$4,063.50	$7,456.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,052.35 / $7,780.50	Professional		$30.00	$3,052.35	$7,780.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $4,788.00 / $4,987.50	Professional		$3,990.00	$4,788.00	$4,987.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $5,880.00	Professional		$4,200.00	$4,200.00	$5,880.00