Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $30.54 / $42.00	Professional		$17.87	$30.54	$42.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $25.88 / $75.00	Professional		$16.86	$25.88	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$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 $17.71 / $17.71 / $17.71	Professional		$17.71	$17.71	$17.71