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 $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $968.28 / $3,782.93	Facility		$796.00	$968.28	$3,782.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $968.28 / $3,782.93	Facility		$600.00	$968.28	$3,782.93
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Facility		$683.00	$683.00	$683.00