Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,916.72 / $1,916.72 / $1,916.72	Facility		$1,916.72	$1,916.72	$1,916.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.88 / $855.25 / $855.25	Professional		$700.88	$855.25	$855.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.75 / $3,403.14 / $5,836.11	Facility		$976.75	$3,403.14	$5,836.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.88 / $855.25 / $1,111.83	Facility		$700.88	$855.25	$1,111.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00