Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.17 / $3,421.44 / $17,709.30	Facility		$741.17	$3,421.44	$17,709.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $2,088.90 / $8,977.95	Professional		$32.76	$2,088.90	$8,977.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.89 / $269.89 / $269.89	Facility		$269.89	$269.89	$269.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $229.41 / $269.89	Professional		$229.41	$229.41	$269.89
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 $269.89 / $269.89 / $2,400,000.00	Facility		$269.89	$269.89	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $2,250,000.00 / $2,400,000.00	Professional		$229.41	$2,250,000.00	$2,400,000.00