Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $10.93 / $10.93	Professional		$0.11	$10.93	$10.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $24.00 / $100.00	Professional		$4.00	$24.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
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 $24.00 / $24.00 / $24.00	Facility		$24.00	$24.00	$24.00
United Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Facility		$24.00	$24.00	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $38.86 / $65.84	Professional		$24.00	$38.86	$65.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $20.39 / $20.39	Professional		$4.00	$20.39	$20.39