Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,218.90 / $36,768.00 / $74,702.60	Facility		$19,218.90	$36,768.00	$74,702.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $21,720.24 / $34,577.85	Facility		$2,488.00	$21,720.24	$34,577.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $15,540.98 / $31,427.20	Facility		$2,415.00	$15,540.98	$31,427.20