Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,325.70 / $42,711.70 / $86,778.70	Facility		$22,325.70	$42,711.70	$86,778.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65,286.93 / $65,286.93 / $69,366.14	Facility		$65,286.93	$65,286.93	$69,366.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,231.43 / $39,523.51	Facility		$7,500.00	$25,231.43	$39,523.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,052.61 / $69,366.14	Facility		$7,500.00	$25,052.61	$69,366.14