Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,530.00	Facility		$1,530.00	$1,530.00	$1,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,495.00 / $2,495.00 / $2,495.00	Facility		$2,495.00	$2,495.00	$2,495.00
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 $597.00 / $902.00 / $1,565.00	Facility		$597.00	$902.00	$1,565.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $2,495.00	Facility		$400.00	$400.00	$2,495.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,454.00 / $1,454.00 / $1,588.00	Facility		$1,454.00	$1,454.00	$1,588.00