Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $9.34 / $11.40	Facility		$4.84	$9.34	$11.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.84 / $4.84	Professional		$4.73	$4.84	$4.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $8.64	Professional		$5.70	$5.70	$8.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $20.96	Facility		$5.24	$5.24	$20.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $6.43	Professional		$5.24	$5.24	$6.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $79,999.20	Facility		$5.24	$5.24	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24