Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $1,685.00 / $1,685.00	Facility		$1,685.00	$1,685.00	$1,685.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $475.00 / $475.00	Facility		$475.00	$475.00	$475.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.00 / $796.00 / $2,255.39	Facility		$667.00	$796.00	$2,255.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $796.00 / $2,255.39	Facility		$475.00	$796.00	$2,255.39
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Facility		$683.00	$683.00	$683.00