Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,831.50 / $22,635.10 / $45,988.50	Facility		$11,831.50	$22,635.10	$45,988.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34,598.94 / $34,598.94 / $36,760.73	Facility		$34,598.94	$34,598.94	$36,760.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $13,371.45 / $20,030.38	Facility		$7,500.00	$13,371.45	$20,030.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $12,696.58 / $36,760.73	Facility		$7,500.00	$12,696.58	$36,760.73
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