Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,235.00	Facility		$1,235.00	$1,235.00	$1,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,118.00 / $1,235.00	Professional		$1,040.00	$1,118.00	$1,235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,118.00 / $1,598.74	Facility		$1,105.00	$1,118.00	$1,598.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $944.78 / $2,408.25	Professional		$30.00	$944.78	$2,408.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,482.00 / $1,543.75	Professional		$1,235.00	$1,482.00	$1,543.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,729.00	Professional		$1,235.00	$1,235.00	$1,729.00