Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,026.90 / $23,008.90 / $46,748.00	Facility		$12,026.90	$23,008.90	$46,748.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35,170.29 / $35,170.29 / $37,367.78	Facility		$35,170.29	$35,170.29	$37,367.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $13,592.26 / $21,149.04	Facility		$7,500.00	$13,592.26	$21,149.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $13,405.65 / $37,367.78	Facility		$7,500.00	$13,405.65	$37,367.78