Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Facility		$1,214.63	$1,214.63	$1,214.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,214.63 / $1,402.50	Professional		$920.00	$1,214.63	$1,402.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $1,457.56	Facility		$1,214.63	$1,238.93	$1,457.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,238.93	Professional		$1,214.63	$1,214.63	$1,238.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.00 / $1,500.00	Professional		$55.00	$78.00	$1,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,548.66	Professional		$1,238.93	$1,238.93	$1,548.66
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,214.63	Professional		$485.85	$1,214.63	$1,214.63