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 $2,663.73 / $2,916.50 / $5,035.43	Facility		$2,663.73	$2,916.50	$5,035.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,645,945.32 / $1,645,945.32 / $1,645,945.32	Facility		$1,645,945.32	$1,645,945.32	$1,645,945.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00