Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $165.96 / $1,380.38	Facility		$2.24	$165.96	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.95 / $6.17	Professional		$1.02	$1.95	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $0.89	Facility		$0.35	$0.35	$0.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.45	Professional		$0.37	$0.37	$0.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.44 / $0.93	Facility		$0.38	$0.44	$0.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.44	Facility		$0.42	$0.42	$0.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.44 / $0.44	Professional		$0.36	$0.44	$0.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.37 / $3.39	Facility		$0.37	$0.37	$3.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.37	Professional		$0.37	$0.37	$0.37
United Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.37	Professional		$0.37	$0.37	$0.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.48	Professional		$0.37	$0.37	$0.48