Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $18.20 / $389.05	Facility		$3.16	$18.20	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $7.59	Professional		$2.00	$2.75	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $6.92	Facility		$2.57	$2.57	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.39	Professional		$2.75	$2.75	$3.39
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 $3.55 / $3.89 / $6.76	Facility		$3.55	$3.89	$6.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $3.63	Facility		$2.82	$2.82	$3.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.63 / $3.98	Professional		$3.39	$3.63	$3.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $44.67	Facility		$2.75	$2.75	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.55	Professional		$2.75	$2.75	$3.55