Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,799.35 / $4,799.35 / $4,799.35	Facility		$4,799.35	$4,799.35	$4,799.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,344.68 / $4,799.35	Professional		$4,041.56	$4,344.68	$4,799.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,344.68 / $6,212.89	Facility		$4,294.16	$4,344.68	$6,212.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,671.51 / $9,358.73	Professional		$30.00	$3,671.51	$9,358.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,799.35 / $5,759.22 / $5,999.19	Professional		$4,799.35	$5,759.22	$5,999.19
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $6,735.94	Professional		$4,209.96	$4,209.96	$6,735.94