Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,554.50 / $54,628.10 / $110,990.00	Facility		$28,554.50	$54,628.10	$110,990.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $32,270.91 / $44,069.28	Facility		$2,488.00	$32,270.91	$44,069.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $19,604.62 / $38,679.10	Facility		$2,415.00	$19,604.62	$38,679.10