Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.62 / $58.88	Facility		$1.12	$1.62	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $2.82 / $5.62	Professional		$1.17	$2.82	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $1.55	Facility		$0.74	$0.74	$1.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.95	Professional		$0.78	$0.78	$0.95
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 $0.79 / $0.87 / $1.66	Facility		$0.79	$0.87	$1.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $0.93	Facility		$0.51	$0.51	$0.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.93 / $1.00	Professional		$0.85	$0.93	$1.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Facility		$0.78	$0.78	$0.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Professional		$0.78	$0.78	$0.78
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Professional		$0.78	$0.78	$0.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $1.00	Professional		$0.78	$0.78	$1.00