Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $11.08	Facility		$4.88	$4.88	$11.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $11.57	Professional		$4.88	$4.88	$11.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $5.39 / $6.54	Professional		$1.00	$5.39	$6.54
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 $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00