Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.80 / $42.66	Facility		$10.00	$13.80	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $14.13	Professional		$3.98	$6.03	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $16.22 / $20.42	Facility		$7.24	$16.22	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.59 / $11.22	Professional		$3.80	$7.59	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $64.57	Professional		$4.68	$6.46	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $10.96	Facility		$7.24	$7.24	$10.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.88 / $21.88	Facility		$7.24	$12.88	$21.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $8.71	Professional		$6.61	$6.61	$8.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.96 / $19.95	Facility		$7.76	$10.96	$19.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $7.24	Professional		$5.50	$6.61	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.71 / $8.71	Facility		$7.24	$8.71	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.24 / $8.13	Professional		$3.09	$3.24	$8.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $13.18	Professional		$3.31	$3.31	$13.18