Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.82 / $506.82 / $600.00	Facility		$506.82	$506.82	$600.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $685.00 / $685.00	Facility		$685.00	$685.00	$685.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $685.00 / $685.00	Facility		$685.00	$685.00	$685.00