Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,774.60 / $28,265.60 / $57,428.20	Facility		$14,774.60	$28,265.60	$57,428.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $16,697.59 / $23,597.33	Facility		$2,488.00	$16,697.59	$23,597.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $10,839.79 / $21,603.90	Facility		$2,415.00	$10,839.79	$21,603.90
United Facility/Professional Facility Modifier Low / Median / High Price $13,884.00 / $13,884.00 / $13,884.00	Facility		$13,884.00	$13,884.00	$13,884.00