Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,137.20 / $42,351.10 / $86,046.00	Facility		$22,137.20	$42,351.10	$86,046.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $25,018.40 / $40,970.89	Facility		$2,488.00	$25,018.40	$40,970.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $18,278.08 / $40,408.69	Facility		$2,415.00	$18,278.08	$40,408.69