Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,146.60 / $23,237.90 / $47,213.20	Facility		$12,146.60	$23,237.90	$47,213.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $13,727.54 / $21,642.13	Facility		$2,488.00	$13,727.54	$21,642.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $10,002.70 / $19,678.80	Facility		$2,415.00	$10,002.70	$19,678.80