Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $66.07 / $245.47	Facility		$7.59	$66.07	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.12	Facility		$0.11	$0.11	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.15	Professional		$0.12	$0.12	$0.15
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 $0.03 / $0.04 / $0.08	Facility		$0.03	$0.04	$0.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.14	Facility		$0.04	$0.04	$0.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.04	Professional		$0.03	$0.04	$0.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.16	Professional		$0.12	$0.12	$0.16