Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,157.10 / $2,451.25	Professional		$1,961.00	$2,157.10	$2,451.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,961.00 / $1,961.00	Facility		$1,850.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,451.25 / $3,137.60	Facility		$1,961.00	$2,451.25	$3,137.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,000.22 / $2,451.25	Professional		$1,961.00	$2,000.22	$2,451.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,014.00 / $3,927.30	Professional		$30.00	$2,014.00	$3,927.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,353.19 / $2,353.19 / $2,353.19	Professional		$2,353.19	$2,353.19	$2,353.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00