Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $288.40 / $645.65	Facility		$60.26	$288.40	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $77.62	Professional		$42.66	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $165.96	Facility		$67.61	$141.25	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Facility		$64.57	$64.57	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $194.98	Facility		$64.57	$112.20	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Professional		$57.54	$57.54	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $177.83	Facility		$67.61	$97.72	$177.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $64.57	Professional		$47.86	$57.54	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $77.62	Facility		$64.57	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $64.57	Professional		$26.92	$26.92	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $114.82	Professional		$28.84	$28.84	$114.82