Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $48.98 / $512.86	Facility		$4.17	$48.98	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.68 / $181.97	Professional		$3.02	$4.68	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $7.08	Facility		$3.63	$3.63	$7.08
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 $3.24 / $4.07 / $7.08	Facility		$3.24	$4.07	$7.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $7.94	Facility		$6.03	$6.03	$7.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.03 / $6.03	Professional		$3.89	$6.03	$6.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
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 / $4.57	Professional		$3.80	$3.80	$4.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.01	Professional		$3.80	$3.80	$5.01