Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $1,789.55	Facility		$1,789.55	$1,789.55	$1,789.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $2,166.88 / $2,462.36	Professional		$1,789.55	$2,166.88	$2,462.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,969.89 / $1,969.89	Facility		$1,858.38	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $2,462.36 / $3,151.82	Facility		$1,789.55	$2,462.36	$3,151.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,462.36	Professional		$1,969.89	$1,969.89	$2,462.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,363.86 / $2,363.86 / $2,363.86	Professional		$2,363.86	$2,363.86	$2,363.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89