Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $9.55 / $398.11	Facility		$1.55	$9.55	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.72	Professional		$1.00	$1.00	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $3.16	Facility		$1.26	$1.26	$3.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.62	Professional		$1.32	$1.32	$1.62
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 $1.38 / $1.74 / $3.31	Facility		$1.38	$1.74	$3.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $4.37	Facility		$2.24	$2.24	$4.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.24 / $2.24	Professional		$1.48	$2.24	$2.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Facility		$1.32	$1.32	$1.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.74	Professional		$1.32	$1.32	$1.74