Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $14.79 / $45.71	Facility		$1.55	$14.79	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.94 / $10.00	Professional		$4.57	$7.94	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.94 / $8.32	Facility		$7.76	$7.94	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $10.23	Professional		$8.32	$8.32	$10.23
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 $7.94 / $8.71 / $15.85	Facility		$7.94	$8.71	$15.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $4.07	Facility		$3.98	$3.98	$4.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.07 / $4.47	Professional		$3.80	$4.07	$4.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $10.96	Professional		$8.32	$8.32	$10.96