Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.36 / $2,517.36 / $7,404.00	Facility		$2,517.36	$2,517.36	$7,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,643.84 / $2,674.94	Professional		$2,488.32	$2,643.84	$2,674.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,674.94 / $3,825.16	Facility		$2,643.84	$2,674.94	$3,825.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,152.34 / $5,486.36	Professional		$30.00	$2,152.34	$5,486.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,954.88 / $3,545.86 / $3,693.60	Professional		$2,954.88	$3,545.86	$3,693.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,628.80	Professional		$2,592.00	$2,592.00	$3,628.80