Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $24.99 / $58.80	Facility		$24.99	$24.99	$58.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.99 / $30.74	Professional		$24.39	$24.99	$30.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $40.42	Professional		$29.40	$29.40	$40.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $98.00	Facility		$24.50	$24.50	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $30.05	Professional		$24.50	$24.50	$30.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $15.72 / $50.00	Professional		$15.72	$15.72	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $79,999.20	Facility		$24.50	$24.50	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $35.28	Professional		$29.40	$29.40	$35.28