Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63,801.40 / $122,060.00 / $247,993.00	Facility		$63,801.40	$122,060.00	$247,993.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $72,105.35 / $118,953.21	Facility		$7,500.00	$72,105.35	$118,953.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $51,665.32 / $111,248.70	Facility		$7,500.00	$51,665.32	$111,248.70