Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.36 / $711.36 / $711.36	Facility		$711.36	$711.36	$711.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $590.42 / $711.36	Professional		$569.09	$590.42	$711.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Facility		$628.37	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $611.77 / $783.07	Facility		$450.00	$611.77	$783.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.50 / $478.50 / $515.26	Professional		$478.50	$478.50	$515.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $631.13 / $631.13 / $942.33	Facility		$631.13	$631.13	$942.33
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $628.37	Professional		$592.79	$592.79	$628.37