Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $83.18 / $363.08	Facility		$30.20	$83.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $19.05 / $19.05	Professional		$7.24	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.10	Facility		$0.05	$0.05	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.07	Professional		$0.06	$0.06	$0.07
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 $0.05 / $0.07 / $0.11	Facility		$0.05	$0.07	$0.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Facility		$0.08	$0.08	$0.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.08	Professional		$0.05	$0.08	$0.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $0.14	Facility		$0.06	$0.06	$0.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.08	Professional		$0.06	$0.06	$0.08