Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,818.38 / $18,620.87	Facility		$54.95	$2,818.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $12.88	Professional		$2.00	$2.51	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $14.79 / $25.70	Facility		$2.69	$14.79	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $11.75	Professional		$1.58	$1.58	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.33 / $75.86	Professional		$5.75	$9.33	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $10.23	Facility		$8.91	$8.91	$10.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $14.13 / $26.30	Facility		$7.94	$14.13	$26.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.96	Professional		$7.94	$7.94	$10.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.18 / $23.99	Facility		$8.91	$13.18	$23.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $9.33	Professional		$7.08	$7.94	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.22 / $11.22	Facility		$9.33	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $8.91	Professional		$1.26	$1.26	$8.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $16.98	Professional		$4.17	$4.17	$16.98