Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $6.31 / $120.23	Facility		$2.19	$6.31	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.39	Professional		$2.00	$2.00	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $4.17	Facility		$1.86	$1.86	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.45	Professional		$2.00	$2.00	$2.45
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 $2.88 / $3.02 / $4.68	Facility		$2.88	$3.02	$4.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $3.24	Facility		$2.75	$2.75	$3.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.75 / $2.75	Professional		$2.29	$2.75	$2.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.57	Professional		$2.00	$2.00	$2.57