Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,900.90 / $26,594.10 / $54,032.10	Facility		$13,900.90	$26,594.10	$54,032.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,650.43 / $40,650.43 / $43,190.33	Facility		$40,650.43	$40,650.43	$43,190.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32,800.44 / $32,800.44 / $32,800.44	Facility		$32,800.44	$32,800.44	$32,800.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $15,710.16 / $24,949.04	Facility		$7,500.00	$15,710.16	$24,949.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $15,814.35 / $43,190.33	Facility		$7,500.00	$15,814.35	$43,190.33