Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $15,415.58 / $27,982.24	Facility		$4,500.00	$15,415.58	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.00 / $2,402.00 / $4,502.00	Professional		$847.00	$2,402.00	$4,502.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $3,404.00	Professional		$75.00	$100.00	$3,404.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,446.77 / $1,446.77 / $1,446.77	Professional		$1,446.77	$1,446.77	$1,446.77