Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.48 / $35.48	Facility		$6.92	$11.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $21.88	Professional		$3.02	$3.98	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.96 / $17.38	Facility		$5.25	$10.96	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.75 / $9.77	Professional		$3.09	$5.75	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.37 / $64.57	Professional		$3.24	$4.37	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $10.96	Facility		$5.01	$5.01	$10.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.71 / $15.14	Facility		$5.01	$8.71	$15.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $6.03	Professional		$4.47	$4.47	$6.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.59 / $13.80	Facility		$5.25	$7.59	$13.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.47 / $5.01	Professional		$3.72	$4.47	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.03 / $6.03	Facility		$5.01	$6.03	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.45 / $5.62	Professional		$2.09	$2.45	$5.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $8.91	Professional		$2.24	$2.24	$8.91