Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,411.80 / $4,411.80 / $9,196.20	Facility		$4,411.80	$4,411.80	$9,196.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,993.84 / $4,411.80	Professional		$3,715.20	$3,993.84	$4,411.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $4,233.47 / $5,711.19	Facility		$3,947.40	$4,233.47	$5,711.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $4,950.04 / $12,617.75	Professional		$30.00	$4,950.04	$12,617.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,411.80 / $5,294.16 / $5,514.75	Professional		$4,411.80	$5,294.16	$5,514.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $5,418.00	Professional		$3,870.00	$3,870.00	$5,418.00