Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $1,713.18	Facility		$1,713.18	$1,713.18	$1,713.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,713.18 / $1,741.40	Professional		$1,393.12	$1,713.18	$1,741.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,393.12 / $1,393.12	Facility		$1,314.26	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,476.71 / $1,741.40 / $2,228.98	Facility		$1,476.71	$1,741.40	$2,228.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,741.40	Professional		$1,393.12	$1,393.12	$1,741.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,136.13	Professional		$30.00	$78.00	$3,136.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,671.74 / $1,671.74 / $1,671.74	Professional		$1,671.74	$1,671.74	$1,671.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12