Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $61.66 / $158.49	Facility		$13.49	$61.66	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $89.13	Professional		$10.00	$12.02	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.33	Professional		$8.13	$8.13	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $43.65	Facility		$14.13	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.85 / $27.54	Professional		$8.32	$15.85	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $64.57	Professional		$8.71	$12.02	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Facility		$13.49	$13.49	$30.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.44 / $40.74	Facility		$13.49	$23.44	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $16.22	Professional		$12.30	$12.30	$16.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $37.15	Facility		$14.13	$20.42	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $13.49	Professional		$10.23	$12.30	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $16.22	Facility		$13.49	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $15.14	Professional		$5.75	$7.76	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $24.55	Professional		$6.03	$6.03	$24.55