Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $29.04	Facility		$12.34	$12.34	$29.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.34 / $12.34	Professional		$12.05	$12.34	$12.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $23.95 / $24.98	Professional		$23.95	$23.95	$24.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $58.08	Facility		$14.52	$14.52	$58.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $17.80	Professional		$14.52	$14.52	$17.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $79,999.20	Facility		$14.52	$14.52	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52