Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Facility		$6.57	$6.57	$6.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $7.26 / $17.50	Professional		$6.57	$7.26	$17.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $75.00 / $100.00	Professional		$6.57	$75.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $201.47 / $255.12	Professional		$95.10	$201.47	$255.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00