Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $117.49	Facility		$19.95	$39.81	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $38.90	Professional		$14.13	$16.98	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Professional		$12.02	$12.02	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $42.66 / $58.88	Facility		$20.89	$42.66	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $28.84	Professional		$11.48	$22.91	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $75.86	Professional		$12.88	$15.49	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $30.90	Facility		$19.95	$19.95	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $60.26	Facility		$19.95	$35.48	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $23.99	Professional		$18.20	$18.20	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $54.95	Facility		$21.38	$30.20	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $19.95	Professional		$15.14	$18.20	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $23.99	Facility		$19.95	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.00 / $22.39	Professional		$8.51	$10.00	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $36.31	Professional		$9.12	$9.12	$36.31