Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $53.70 / $302.00	Facility		$12.88	$53.70	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $35.48	Professional		$8.91	$12.02	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.84 / $46.77	Facility		$13.49	$28.84	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $26.30	Professional		$8.13	$14.79	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $64.57	Professional		$8.32	$11.48	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $23.99	Facility		$13.18	$13.18	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.91 / $38.90	Facility		$13.18	$22.91	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.85	Professional		$11.75	$11.75	$15.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.50 / $36.31	Facility		$13.80	$19.50	$36.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $13.18	Professional		$9.77	$11.75	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $15.85	Facility		$13.18	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $14.79	Professional		$5.50	$6.61	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $23.44	Professional		$5.89	$5.89	$23.44