Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $21.45	Professional		$21.45	$21.45	$21.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $57.75	Professional		$23.10	$23.10	$57.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $36.59 / $38.86	Professional		$32.38	$36.59	$38.86