Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.07	Facility		$0.03	$0.03	$0.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $11.28 / $30.00	Professional		$1.30	$11.28	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50