Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $44.67 / $1,318.26	Facility		$3.39	$44.67	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $12.02	Professional		$2.00	$2.40	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $4.57	Facility		$2.24	$2.24	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.95	Professional		$2.40	$2.40	$2.95
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 $2.40 / $2.75 / $4.57	Facility		$2.40	$2.75	$4.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $8.91	Facility		$3.72	$3.72	$8.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.72 / $3.72	Professional		$2.40	$3.72	$3.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.09	Professional		$2.40	$2.40	$3.09