Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64,687.50 / $123,755.00 / $251,437.00	Facility		$64,687.50	$123,755.00	$251,437.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $73,106.77 / $113,018.92	Facility		$7,500.00	$73,106.77	$113,018.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $49,124.63 / $103,442.50	Facility		$7,500.00	$49,124.63	$103,442.50