Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,464.60 / $42,977.60 / $87,318.80	Facility		$22,464.60	$42,977.60	$87,318.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65,693.32 / $65,693.32 / $69,797.92	Facility		$65,693.32	$65,693.32	$69,797.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,388.49 / $39,685.42	Facility		$7,500.00	$25,388.49	$39,685.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,155.23 / $69,797.92	Facility		$7,500.00	$25,155.23	$69,797.92