Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,734.70 / $28,189.30 / $57,273.10	Facility		$14,734.70	$28,189.30	$57,273.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $16,652.50 / $29,175.91	Facility		$2,488.00	$16,652.50	$29,175.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $13,228.21 / $29,798.80	Facility		$2,415.00	$13,228.21	$29,798.80