Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $3.28	Facility		$1.39	$1.39	$3.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.39 / $1.39	Professional		$1.36	$1.39	$1.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.80	Professional		$1.64	$1.64	$2.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $5.56	Facility		$1.39	$1.39	$5.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$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 $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64