Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.95 / $190.55	Facility		$11.22	$19.95	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $25.12	Professional		$5.01	$7.08	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.50 / $26.30	Facility		$9.12	$19.50	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.00 / $16.60	Professional		$5.13	$10.00	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $64.57	Professional		$5.62	$7.76	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $19.50	Facility		$8.71	$8.71	$19.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.49 / $26.30	Facility		$8.71	$15.49	$26.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.47	Professional		$7.94	$7.94	$10.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.18 / $23.99	Facility		$9.33	$13.18	$23.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $8.71	Professional		$6.61	$7.94	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.47 / $10.47	Facility		$8.71	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.68 / $9.77	Professional		$3.72	$4.68	$9.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $15.85	Professional		$3.98	$3.98	$15.85