Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $9.99	Facility		$4.40	$4.40	$9.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $10.43	Professional		$4.40	$4.40	$10.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $14.50 / $60.00	Professional		$1.75	$14.50	$60.00
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 $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60