Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $0.51	Facility		$0.51	$0.51	$0.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $2.27 / $2.27	Professional		$0.51	$2.27	$2.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.19 / $79,999.20	Facility		$1.19	$1.19	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.19 / $1.19	Professional		$1.19	$1.19	$1.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,700,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $2,250,000.00 / $2,400,000.00	Professional		$6.50	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00