Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.89 / $204.17	Facility		$2.88	$5.89	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.88 / $4.79	Professional		$2.00	$2.88	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $4.90	Facility		$2.63	$2.63	$4.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $3.47	Professional		$2.82	$2.82	$3.47
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 $2.69 / $3.02 / $5.13	Facility		$2.69	$3.02	$5.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $6.03	Facility		$4.27	$4.27	$6.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.27 / $4.27	Professional		$2.82	$4.27	$4.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Facility		$2.82	$2.82	$2.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Professional		$2.82	$2.82	$2.82
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Professional		$2.82	$2.82	$2.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $3.63	Professional		$2.82	$2.82	$3.63