Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,697.10 / $4,697.10 / $4,697.10	Facility		$4,697.10	$4,697.10	$4,697.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $2,374.87 / $2,374.87	Professional		$95.00	$2,374.87	$2,374.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,374.87	Facility		$2,374.87	$2,374.87	$2,374.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,400,000.00	Professional		$2,374.87	$2,374.87	$2,400,000.00