Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $0.68	Facility		$0.30	$0.30	$0.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.47 / $37.61	Professional		$5.00	$12.47	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $12.65 / $20.56	Professional		$7.91	$12.65	$20.56
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 $3.76 / $3.76 / $3.76	Professional		$3.76	$3.76	$3.76