Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,950.00 / $3,950.00 / $3,950.00	Facility		$3,950.00	$3,950.00	$3,950.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $35.46 / $603.67	Facility		$10.87	$35.46	$603.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $203.50 / $3,731.00	Facility		$152.00	$203.50	$3,731.00