Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81,587.89 / $156,087.00 / $317,128.00	Facility		$81,587.89	$156,087.00	$317,128.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $92,206.84 / $148,062.89	Facility		$7,500.00	$92,206.84	$148,062.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $64,128.31 / $142,071.00	Facility		$7,500.00	$64,128.31	$142,071.00