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 / $4,492.91	Facility		$1,685.00	$1,685.00	$4,492.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.63 / $897.00 / $2,255.39	Facility		$517.63	$897.00	$2,255.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $905.00 / $2,255.39	Facility		$525.00	$905.00	$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