Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Facility		$1,545.58	$1,545.58	$1,545.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Professional		$1,545.58	$1,545.58	$1,545.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $2,250,000.00 / $2,400,000.00	Professional		$660.66	$2,250,000.00	$2,400,000.00