Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $4.98 / $11.72	Facility		$4.98	$4.98	$11.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.98 / $4.98	Professional		$4.86	$4.98	$4.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $7.73	Professional		$5.86	$5.86	$7.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $18.72	Facility		$4.68	$4.68	$18.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $5.74	Professional		$4.68	$4.68	$5.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $50.00	Professional		$4.69	$4.69	$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 $5.86 / $5.86 / $5.86	Professional		$5.86	$5.86	$5.86