Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Facility		$2,399.67	$2,399.67	$2,399.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,172.34 / $2,399.67	Professional		$2,020.78	$2,172.34	$2,399.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.45 / $2,147.08 / $2,748.26	Facility		$269.45	$2,147.08	$2,748.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,835.75 / $4,679.38	Professional		$30.00	$1,835.75	$4,679.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,399.67 / $2,879.62 / $2,999.60	Professional		$2,399.67	$2,879.62	$2,999.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,946.97	Professional		$2,104.98	$2,104.98	$2,946.97