Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,881.24 / $6,881.24 / $6,881.24	Facility		$6,881.24	$6,881.24	$6,881.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Professional		$1,545.58	$1,545.58	$1,545.58
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 $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66
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