Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $52.67	Professional		$47.50	$47.50	$52.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $50.00 / $100.00	Professional		$5.00	$50.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $80.36 / $137.16	Professional		$50.00	$80.36	$137.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $42.50 / $42.50	Professional		$25.00	$42.50	$42.50