Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,695.00 / $72,148.70 / $155,350.00	Facility		$3,695.00	$72,148.70	$155,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163,317.92 / $163,317.92 / $173,522.25	Facility		$163,317.92	$163,317.92	$173,522.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $63,117.45 / $99,602.37	Facility		$7,500.00	$63,117.45	$99,602.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $63,134.56 / $173,522.25	Facility		$7,500.00	$63,134.56	$173,522.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Facility		$3,200.00	$3,200.00	$3,200.00