Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.40 / $186.40 / $186.40	Facility		$186.40	$186.40	$186.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $155.09 / $186.40	Professional		$122.05	$155.09	$186.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $125.71 / $164.84	Professional		$44.00	$125.71	$164.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $303.29 / $363.38	Professional		$288.99	$303.29	$363.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Facility		$31.08	$31.08	$31.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00