Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.07 / $2,593.92 / $12,397.88	Facility		$1,496.07	$2,593.92	$12,397.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,390.39 / $5,160.84 / $15,936.00	Professional		$4,390.39	$5,160.84	$15,936.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $3,467.91	Professional		$3,467.91	$3,467.91	$3,467.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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