Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,211.60 / $25,275.30 / $51,352.70	Facility		$13,211.60	$25,275.30	$51,352.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $14,931.11 / $23,516.38	Facility		$2,488.00	$14,931.11	$23,516.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $10,805.12 / $21,955.80	Facility		$2,415.00	$10,805.12	$21,955.80