Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $19.50	Facility		$7.94	$7.94	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $8.91	Professional		$7.08	$7.94	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $16.60	Facility		$8.32	$8.32	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
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 $3.89 / $4.57 / $4.68	Facility		$3.89	$4.57	$4.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.32	Facility		$8.13	$8.13	$8.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.32 / $8.71	Professional		$7.59	$8.32	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13