Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.27 / $1,285.27 / $1,285.27	Facility		$1,285.27	$1,285.27	$1,285.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.65 / $12.65	Professional		$12.20	$12.65	$12.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,269.59 / $4,359.01	Facility		$345.00	$1,269.59	$4,359.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $17.71 / $1,000.00	Professional		$8.26	$17.71	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $14.64 / $18.79	Facility		$11.95	$14.64	$18.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $2,250,000.00 / $2,250,000.00	Professional		$52.00	$2,250,000.00	$2,250,000.00