Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $72.64 / $75.84	Facility		$32.00	$72.64	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $55.36	Professional		$32.00	$32.00	$55.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $67.48 / $77.48	Professional		$5.56	$67.48	$77.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.62 / $39.87 / $39.87	Professional		$32.62	$39.87	$39.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $79,999.20	Facility		$4.20	$4.20	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Professional		$5.56	$5.56	$5.56