Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $19,261.09	Facility		$2,747.00	$7,920.26	$19,261.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.40 / $750.00 / $1,871.96	Professional		$328.40	$750.00	$1,871.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.83 / $581.83 / $581.83	Professional		$581.83	$581.83	$581.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $369.00 / $591.00	Facility		$225.03	$369.00	$591.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,644,131.36	Facility		$842.00	$842.00	$1,644,131.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.83 / $581.83 / $581.83	Professional		$581.83	$581.83	$581.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00