Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.00 / $2,480.00 / $2,480.00	Professional		$2,480.00	$2,480.00	$2,480.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $3,112.50	Professional		$2,988.00	$2,988.00	$3,112.50