Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,054.70 / $51,758.90 / $105,160.00	Facility		$27,054.70	$51,758.90	$105,160.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $30,575.97 / $45,541.20	Facility		$2,488.00	$30,575.97	$45,541.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $20,234.81 / $43,134.20	Facility		$2,415.00	$20,234.81	$43,134.20