Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $1,725.04	Facility		$1,725.04	$1,725.04	$1,725.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,725.04 / $1,815.32	Professional		$1,452.25	$1,725.04	$1,815.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $1,452.25 / $1,452.25	Facility		$1,370.05	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,539.39 / $1,815.32 / $2,323.61	Facility		$1,539.39	$1,815.32	$2,323.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,539.39 / $1,815.31	Professional		$1,452.25	$1,539.39	$1,815.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,207.73	Professional		$30.00	$78.00	$3,207.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,742.70 / $1,742.70 / $1,742.70	Professional		$1,742.70	$1,742.70	$1,742.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25