Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.58 / $4,500.00 / $7,045.00	Facility		$583.58	$4,500.00	$7,045.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,384.91 / $1,384.91 / $1,384.91	Facility	54	$1,384.91	$1,384.91	$1,384.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.78 / $154.78 / $155.22	Facility		$154.78	$154.78	$155.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $375.80 / $802.91	Facility		$171.11	$375.80	$802.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.11 / $563.48 / $714.51	Facility		$425.11	$563.48	$714.51
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00