Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $1,653.82	Facility		$1,653.82	$1,653.82	$1,653.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,749.59 / $1,988.18	Professional		$1,590.54	$1,749.59	$1,988.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $1,590.54 / $1,590.54	Facility		$1,500.51	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,606.45 / $1,988.18 / $2,544.87	Facility		$1,606.45	$1,988.18	$2,544.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,749.59 / $1,988.18	Professional		$1,590.54	$1,749.59	$1,988.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,614.64	Professional		$30.00	$78.00	$3,614.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,908.65 / $1,908.65 / $1,908.65	Professional		$1,908.65	$1,908.65	$1,908.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54