Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $9.12 / $77.62	Professional		$1.00	$9.12	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.81 / $0.81	Professional		$0.38	$0.81	$0.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $64.57 / $75.86	Professional		$1.05	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.00 / $2.00	Facility		$1.66	$2.00	$2.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.95 / $3.09	Facility		$1.35	$1.95	$3.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.04 / $2.88	Professional		$1.38	$2.04	$2.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.51 / $2.82	Facility		$1.26	$1.51	$2.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.41 / $2.75	Professional		$1.02	$1.41	$2.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $2.24	Professional		$0.56	$0.56	$2.24