Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $5.28	Facility		$2.24	$2.24	$5.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.24 / $2.24	Professional		$2.19	$2.24	$2.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $3.69	Professional		$2.64	$2.64	$3.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $8.96	Facility		$2.24	$2.24	$8.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.75	Professional		$2.24	$2.24	$2.75
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 $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24