Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $6,072.60 / $15,341.00	Facility		$1,486.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,794.65 / $14,008.74 / $24,186.66	Facility		$12,794.65	$14,008.74	$24,186.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,016.20 / $2,102.36	Facility		$842.00	$1,016.20	$2,102.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00