Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,967.30 / $28,634.20 / $58,176.90	Facility		$14,967.30	$28,634.20	$58,176.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43,768.72 / $43,768.72 / $46,503.45	Facility		$43,768.72	$43,768.72	$46,503.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,915.29 / $27,232.97	Facility		$7,500.00	$16,915.29	$27,232.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $17,262.06 / $46,503.45	Facility		$7,500.00	$17,262.06	$46,503.45