Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $77.62 / $323.59	Facility		$18.20	$77.62	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $8.71 / $29.51	Professional		$1.95	$8.71	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.12	Facility		$0.05	$0.05	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
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 $0.04 / $0.05 / $0.11	Facility		$0.04	$0.05	$0.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.10	Facility		$0.07	$0.07	$0.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.07	Professional		$0.06	$0.07	$0.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Professional		$0.05	$0.05	$0.07