Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $7.26	Facility		$3.20	$3.20	$7.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $7.58	Professional		$3.20	$3.20	$7.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $13.20 / $485.00	Professional		$3.00	$13.20	$485.00
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 $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00