Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.12	Facility		$0.05	$0.05	$0.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $100.00 / $129.28	Facility		$95.00	$100.00	$129.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.34	Professional		$0.05	$0.06	$0.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.20	Facility		$0.05	$0.05	$0.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
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 $0.06 / $79,999.20 / $79,999.20	Facility		$0.06	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11