Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165,357.00 / $316,347.00 / $642,732.00	Facility		$165,357.00	$316,347.00	$642,732.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $186,878.34 / $321,391.28	Facility		$7,500.00	$186,878.34	$321,391.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $138,336.92 / $263,600.70	Facility		$7,500.00	$138,336.92	$263,600.70