Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $26.47 / $26.47	Professional		$0.07	$26.47	$26.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $16.00 / $100.00	Professional		$0.43	$16.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
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 $16.00 / $16.00 / $16.00	Facility		$16.00	$16.00	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $25.91 / $43.89	Professional		$16.80	$25.91	$43.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.60 / $13.60	Professional		$5.00	$13.60	$13.60