Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.02	Professional		$1.00	$1.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.51 / $75.86	Professional		$2.29	$2.51	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.03 / $8.32	Facility		$4.47	$6.03	$8.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.47	Professional		$1.95	$1.95	$3.47