Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $4.78 / $11.24	Facility		$4.78	$4.78	$11.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.78 / $4.78	Professional		$4.66	$4.78	$4.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $7.40	Professional		$5.62	$5.62	$7.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $17.96	Facility		$4.49	$4.49	$17.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $5.51	Professional		$4.49	$4.49	$5.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $50.00	Professional		$4.49	$4.49	$50.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62