Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $8.26	Facility		$3.51	$3.51	$8.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.51 / $3.51	Professional		$3.43	$3.51	$3.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.67	Professional		$4.13	$4.13	$5.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $13.76	Facility		$3.44	$3.44	$13.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $4.22	Professional		$3.44	$3.44	$4.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $50.00	Professional		$3.44	$3.44	$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 $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13