Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $72.50 / $101.20	Professional		$45.25	$72.50	$101.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $53.24 / $66.55	Professional		$53.24	$53.24	$66.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $31.41 / $31.41	Professional		$31.41	$31.41	$31.41