Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $25.70 / $91.20	Facility		$4.27	$25.70	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $7.94	Professional		$3.02	$3.98	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.00 / $14.45	Facility		$4.68	$10.00	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $5.37 / $9.33	Professional		$2.88	$5.37	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.98 / $64.57	Professional		$2.88	$3.98	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $9.33	Facility		$4.47	$4.47	$9.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.94 / $13.49	Facility		$4.47	$7.94	$13.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.37	Professional		$4.07	$4.07	$5.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.76 / $12.30	Facility		$4.79	$6.76	$12.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.07 / $4.47	Professional		$3.39	$4.07	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.37 / $5.37	Facility		$4.47	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.24 / $5.01	Professional		$1.91	$2.24	$5.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $8.13	Professional		$2.04	$2.04	$8.13