Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,616.00 / $6,616.00 / $20,400.00	Professional		$6,616.00	$6,616.00	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,707.52 / $7,344.00 / $12,679.73	Facility		$6,707.52	$7,344.00	$12,679.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,649,889.20 / $1,649,889.20 / $1,649,889.20	Facility		$1,649,889.20	$1,649,889.20	$1,649,889.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00