Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77,114.80 / $147,530.00 / $299,741.00	Facility		$77,114.80	$147,530.00	$299,741.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $87,151.53 / $133,473.71	Facility		$7,500.00	$87,151.53	$133,473.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $57,882.12 / $121,019.10	Facility		$7,500.00	$57,882.12	$121,019.10