Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,687.90 / $28,099.80 / $57,091.20	Facility		$14,687.90	$28,099.80	$57,091.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,951.93 / $42,951.93 / $45,635.63	Facility		$42,951.93	$42,951.93	$45,635.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,599.63 / $26,261.51	Facility		$7,500.00	$16,599.63	$26,261.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,646.28 / $45,635.63	Facility		$7,500.00	$16,646.28	$45,635.63