Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.77 / $13.80	Facility		$6.17	$9.77	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $1,995.26	Professional		$5.01	$5.89	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.62 / $11.75	Facility		$5.25	$5.62	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.92	Professional		$5.62	$5.62	$6.92
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 $5.75 / $6.31 / $10.72	Facility		$5.75	$6.31	$10.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.92 / $16.98	Facility		$5.37	$6.92	$16.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.76 / $6.76	Professional		$5.62	$6.76	$6.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.17 / $13.18	Facility		$4.07	$6.17	$13.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $7.24	Professional		$5.62	$5.62	$7.24