Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,522.00 / $22,024.00	Facility		$2,064.40	$6,522.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $2,769.52 / $27,982.24	Professional		$1,320.00	$2,769.52	$27,982.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $142.02 / $277.57	Professional		$127.81	$142.02	$277.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $159.13 / $159.13	Professional		$159.13	$159.13	$159.13