Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,038.50	Facility		$2,038.50	$2,038.50	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,092.88 / $2,378.28	Professional		$1,902.62	$2,092.88	$2,378.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,902.62 / $1,902.62	Facility		$1,794.93	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,921.65 / $2,378.28 / $3,044.20	Facility		$1,921.65	$2,378.28	$3,044.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,940.67 / $2,378.28	Professional		$1,902.62	$1,940.67	$2,378.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,349.92 / $4,582.34	Professional		$30.00	$2,349.92	$4,582.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,283.15 / $2,283.15 / $2,283.15	Professional		$2,283.15	$2,283.15	$2,283.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $3,044.19	Professional		$1,902.62	$1,902.62	$3,044.19