Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $44.80 / $83.20	Professional		$20.00	$44.80	$83.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $175.00 / $194.25	Professional		$25.00	$175.00	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $79,999.20	Facility		$4,000.00	$4,000.00	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Professional		$4,000.00	$4,000.00	$4,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,550,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,550,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $2,400,000.00	Professional		$25.05	$25.05	$2,400,000.00