Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.59 / $30.20	Facility		$5.50	$12.59	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.01 / $10.00	Professional		$3.63	$5.01	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.30 / $19.95	Facility		$5.75	$12.30	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.17 / $11.22	Professional		$3.47	$6.17	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $32.36 / $75.86	Professional		$3.55	$32.36	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $10.47	Facility		$5.50	$5.50	$10.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.55 / $16.60	Facility		$5.50	$9.55	$16.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $6.61	Professional		$4.90	$4.90	$6.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.32 / $15.14	Facility		$5.75	$8.32	$15.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.90 / $5.50	Professional		$4.17	$4.90	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.61 / $6.61	Facility		$5.50	$6.61	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.16 / $6.17	Professional		$2.29	$3.16	$6.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $10.00	Professional		$2.45	$2.45	$10.00