Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,477.50 / $37,262.80 / $75,708.00	Facility		$19,477.50	$37,262.80	$75,708.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $22,012.58 / $35,519.87	Facility		$2,488.00	$22,012.58	$35,519.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $15,944.30 / $37,002.40	Facility		$2,415.00	$15,944.30	$37,002.40