Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $3.31 / $107.15	Facility		$1.41	$3.31	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.72	Professional		$1.00	$1.00	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $2.82	Facility		$1.48	$1.48	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.95	Professional		$1.58	$1.58	$1.95
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 $0.89 / $1.74 / $2.19	Facility		$0.89	$1.74	$2.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $3.09	Facility		$2.45	$2.45	$3.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.45 / $2.45	Professional		$1.58	$2.45	$2.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.04	Professional		$1.58	$1.58	$2.04