Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50,988.80 / $97,547.80 / $198,191.00	Facility		$50,988.80	$97,547.80	$198,191.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $57,625.19 / $85,180.01	Facility		$7,500.00	$57,625.19	$85,180.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $37,205.69 / $79,543.20	Facility		$7,500.00	$37,205.69	$79,543.20