Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.62 / $50.12	Facility		$11.75	$18.62	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $15.85	Professional		$6.03	$7.08	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.05 / $27.54	Facility		$8.91	$19.05	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $16.98	Professional		$5.50	$10.00	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $64.57	Professional		$5.50	$7.59	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $19.05	Facility		$8.51	$8.51	$19.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.14 / $25.70	Facility		$8.51	$15.14	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $10.23	Professional		$7.76	$7.76	$10.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.88 / $23.44	Facility		$9.12	$12.88	$23.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $8.51	Professional		$6.46	$7.76	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.23 / $10.23	Facility		$8.51	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $9.55	Professional		$3.63	$4.27	$9.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $15.49	Professional		$3.89	$3.89	$15.49