Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,690.70 / $54,888.70 / $111,519.00	Facility		$28,690.70	$54,888.70	$111,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83,900.11 / $83,900.11 / $89,142.30	Facility		$83,900.11	$83,900.11	$89,142.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $32,424.86 / $52,827.21	Facility		$7,500.00	$32,424.86	$52,827.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $33,485.37 / $89,142.30	Facility		$7,500.00	$33,485.37	$89,142.30