Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,779.10 / $30,187.20 / $61,332.30	Facility		$15,779.10	$30,187.20	$61,332.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46,142.64 / $46,142.64 / $49,025.70	Facility		$46,142.64	$46,142.64	$49,025.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $17,832.74 / $27,387.52	Facility		$7,500.00	$17,832.74	$27,387.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $17,360.02 / $49,025.70	Facility		$7,500.00	$17,360.02	$49,025.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $1,540.00 / $1,540.00	Facility		$1,540.00	$1,540.00	$1,540.00