Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.56	Facility		$0.25	$0.25	$0.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Professional		$0.25	$0.25	$0.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $5.25 / $15.52	Professional		$0.88	$5.25	$15.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01
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 $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88