Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $44.67 / $56.23	Facility		$19.05	$44.67	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.91	Professional		$19.05	$19.05	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $87.10	Facility		$21.38	$21.38	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $74.13	Facility		$33.88	$45.71	$74.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $41.69	Facility		$40.74	$40.74	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $14.79	Facility		$14.13	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.18	Professional		$21.88	$21.88	$28.18