Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $1.44 / $3.38	Facility		$1.44	$1.44	$3.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.44 / $1.54	Professional		$1.35	$1.44	$1.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $95.00 / $95.00	Facility		$3.85	$95.00	$95.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.88 / $75.00	Professional		$2.29	$2.88	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $1.44 / $5.76	Facility		$1.44	$1.44	$5.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Professional		$1.44	$1.44	$1.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.96 / $4.01	Facility		$3.30	$3.96	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62