Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $72.72	Professional		$65.91	$65.91	$72.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.49 / $164.49 / $164.49	Facility		$164.49	$164.49	$164.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $133.32 / $349.17	Professional		$50.00	$133.32	$349.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $376.39	Facility		$65.91	$65.91	$376.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,250,000.00	Professional		$1,800,000.00	$1,800,000.00	$2,250,000.00