Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,833.75 / $5,833.75 / $5,833.75	Facility		$5,833.75	$5,833.75	$5,833.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $2,250,000.00	Professional		$125.40	$125.40	$2,250,000.00