Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $41.79	Facility		$18.41	$18.41	$41.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $18.41 / $43.63	Professional		$4.05	$18.41	$43.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $9.00 / $40.00	Professional		$5.30	$9.00	$40.00
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 $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50