Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.59 / $46.77	Facility		$3.98	$7.59	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $7.94	Professional		$3.02	$3.98	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $7.24	Facility		$3.55	$3.55	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $4.57	Professional		$3.72	$3.72	$4.57
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 $3.98 / $4.57 / $7.41	Facility		$3.98	$4.57	$7.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $4.07	Facility		$3.09	$3.09	$4.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.07 / $4.37	Professional		$3.72	$4.07	$4.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Facility		$3.72	$3.72	$3.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $4.90	Professional		$3.72	$3.72	$4.90