Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $141.25 / $316.23	Facility		$28.84	$141.25	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $37.15	Professional		$19.95	$25.12	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $69.18 / $81.28	Facility		$32.36	$69.18	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $34.67 / $54.95	Facility		$28.18	$34.67	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $54.95 / $93.33	Facility		$31.62	$54.95	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $87.10	Facility		$33.11	$46.77	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $31.62	Professional		$23.44	$28.18	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $38.02	Facility		$31.62	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $31.62	Professional		$13.18	$13.18	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $56.23	Professional		$14.13	$14.13	$56.23