Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $220.10	Professional		$220.10	$220.10	$220.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,190.48 / $1,190.48 / $79,999.20	Facility		$1,190.48	$1,190.48	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,190.48 / $1,190.48 / $1,190.48	Professional		$1,190.48	$1,190.48	$1,190.48
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 $220.10 / $2,250,000.00 / $2,400,000.00	Professional		$220.10	$2,250,000.00	$2,400,000.00