Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.63 / $642.63 / $1,129.51	Facility		$642.63	$642.63	$1,129.51
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 $15.42 / $33.04 / $1,000.00	Professional		$15.42	$33.04	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $16.51 / $21.08	Facility		$11.95	$16.51	$21.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $2,250,000.00 / $2,250,000.00	Professional		$67.00	$2,250,000.00	$2,250,000.00