Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $200.45 / $277.86	Facility		$122.40	$200.45	$277.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $34.06 / $60.61	Professional		$12.60	$34.06	$60.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.38 / $130.00	Professional		$9.55	$12.38	$130.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $50.96 / $637.55	Facility		$28.52	$50.96	$637.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $15.02	Professional		$15.02	$15.02	$15.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $84.50	Professional		$40.00	$44.00	$84.50