Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $26.40 / $26.40	Professional		$25.60	$26.40	$26.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,634.28 / $6,634.28 / $79,999.20	Facility		$6,634.28	$6,634.28	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,634.28 / $6,634.28 / $6,634.28	Professional		$6,634.28	$6,634.28	$6,634.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,700,000.00 / $2,700,000.00	Facility		$2,400,000.00	$2,700,000.00	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $2,250,000.00 / $2,400,000.00	Professional		$13.25	$2,250,000.00	$2,400,000.00