Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.72 / $19.50	Facility		$5.37	$10.72	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $13.49	Professional		$5.01	$5.01	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $12.59	Facility		$5.13	$5.13	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.61	Professional		$5.37	$5.37	$6.61
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 $4.47 / $4.68 / $15.49	Facility		$4.47	$4.68	$15.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $9.55	Facility		$6.61	$6.61	$9.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $6.61	Professional		$5.50	$6.61	$6.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $7.08	Professional		$5.37	$5.37	$7.08