Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.59 / $19.50	Facility		$3.98	$7.59	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $11.48	Professional		$3.02	$3.89	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $6.61	Facility		$3.63	$3.63	$6.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.68	Professional		$3.80	$3.80	$4.68
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 $3.55 / $4.47 / $10.47	Facility		$3.55	$4.47	$10.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $9.77	Facility		$3.39	$3.39	$9.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.39 / $3.39	Professional		$2.24	$3.39	$3.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $14.13	Facility		$3.80	$3.80	$14.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.01	Professional		$3.80	$3.80	$5.01