Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $34.61	Facility		$34.61	$34.61	$34.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $32.64 / $38.29	Professional		$30.35	$32.64	$38.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $30.94 / $35.43	Professional		$21.17	$30.94	$35.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
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 $35.24 / $79,999.20 / $79,999.20	Facility		$35.24	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $30.94 / $31.87	Professional		$30.94	$30.94	$31.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $36.50 / $36.50	Professional		$30.94	$36.50	$36.50