Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $2.90	Facility		$1.23	$1.23	$2.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.23 / $1.44	Professional		$1.15	$1.23	$1.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $95.00 / $100.00	Facility		$0.40	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.48 / $75.00	Professional		$0.16	$0.48	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $4.92	Facility		$1.23	$1.23	$4.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $72.00	Professional		$30.00	$50.00	$72.00
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 $0.14 / $0.17 / $0.17	Professional		$0.14	$0.17	$0.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10