Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,490.80 / $43,027.60 / $87,420.40	Facility		$22,490.80	$43,027.60	$87,420.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65,769.77 / $65,769.77 / $69,879.14	Facility		$65,769.77	$65,769.77	$69,879.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,418.03 / $39,697.68	Facility		$7,500.00	$25,418.03	$39,697.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,163.01 / $69,879.14	Facility		$7,500.00	$25,163.01	$69,879.14