Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $34.67	Professional		$15.85	$15.85	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $26.30	Facility		$21.38	$25.70	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $37.15	Facility		$16.22	$19.50	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.02 / $12.02	Facility		$11.48	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.22	Professional		$13.49	$13.49	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $22.39	Professional		$17.38	$17.38	$22.39