Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.83 / $1,825.83 / $1,825.83	Facility		$1,825.83	$1,825.83	$1,825.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.55 / $1,825.83 / $2,117.23	Professional		$1,773.55	$1,825.83	$2,117.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $1,757.11 / $1,994.31	Professional		$60.08	$1,757.11	$1,994.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,373.25 / $2,373.25 / $2,984.18	Professional		$2,373.25	$2,373.25	$2,984.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,026.62 / $79,999.20 / $79,999.20	Facility		$2,026.62	$79,999.20	$79,999.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,757.29 / $2,034.82 / $2,034.82	Professional		$1,757.29	$2,034.82	$2,034.82