Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Facility		$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $53.03	Professional		$47.06	$47.06	$53.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $53.03	Facility		$47.06	$47.06	$53.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $2,400,000.00	Professional		$105.00	$105.00	$2,400,000.00