Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $57.54 / $537.03	Facility		$5.75	$57.54	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $26.30 / $363.08	Professional		$5.01	$26.30	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $19.05	Facility		$4.79	$4.79	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.17	Professional		$5.13	$5.13	$6.17
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 $5.01 / $5.75 / $11.48	Facility		$5.01	$5.75	$11.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $21.88	Facility		$7.76	$7.76	$21.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $7.76	Professional		$5.13	$7.76	$7.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $114.82	Facility		$5.13	$5.13	$114.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.17	Professional		$5.13	$5.13	$6.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.61	Professional		$5.13	$5.13	$6.61