Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,050.30 / $20,493.70 / $33,519.40	Facility		$12,050.30	$20,493.70	$33,519.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35,238.69 / $35,238.69 / $37,440.44	Facility		$35,238.69	$35,238.69	$37,440.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $13,618.69 / $21,806.49	Facility		$7,500.00	$13,618.69	$21,806.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $13,822.40 / $37,440.44	Facility		$7,500.00	$13,822.40	$37,440.44