Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.06 / $75.55 / $177.76	Facility		$53.06	$75.55	$177.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $75.55 / $75.55	Professional		$73.77	$75.55	$75.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $88.88	Professional		$2.31	$2.31	$88.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $302.20	Facility		$75.55	$75.55	$302.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.19 / $50.00	Professional		$1.19	$1.19	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.38 / $79,999.20 / $79,999.20	Facility		$119.38	$79,999.20	$79,999.20
United Facility/Professional Facility Modifier Low / Median / High Price $88.88 / $88.88 / $88.88	Facility		$88.88	$88.88	$88.88
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $88.88	Professional		$88.88	$88.88	$88.88