Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $56.68	Facility		$24.97	$24.97	$56.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.97 / $36.63	Professional		$24.00	$24.97	$36.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $8.00 / $75.00	Professional		$2.00	$8.00	$75.00
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 $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00