Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $26.00	Facility		$11.05	$11.05	$26.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $11.05 / $11.05	Professional		$10.79	$11.05	$11.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $20.95	Professional		$13.00	$13.00	$20.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $44.20	Facility		$11.05	$11.05	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $50.00	Professional		$11.11	$11.11	$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 $13.00 / $13.00 / $15.60	Professional		$13.00	$13.00	$15.60