Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $2.84	Facility		$1.25	$1.25	$2.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $6.98 / $25.00	Professional		$1.00	$6.98	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
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 $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00