Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,949.70 / $30,513.60 / $61,995.40	Facility		$15,949.70	$30,513.60	$61,995.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46,641.57 / $46,641.57 / $49,555.80	Facility		$46,641.57	$46,641.57	$49,555.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $18,025.56 / $31,597.22	Facility		$7,500.00	$18,025.56	$31,597.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $20,028.40 / $49,555.80	Facility		$7,500.00	$20,028.40	$49,555.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,432.00 / $2,432.00 / $2,432.00	Facility		$2,432.00	$2,432.00	$2,432.00