Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $46.77 / $177.83	Facility		$12.88	$46.77	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $35.48	Professional		$7.08	$10.00	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.12	Professional		$7.94	$7.94	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $43.65	Facility		$13.80	$29.51	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $19.05	Professional		$8.13	$15.14	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $14.13	Professional		$8.51	$11.75	$14.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $19.95	Facility		$13.18	$13.18	$19.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.44 / $39.81	Facility		$13.18	$23.44	$39.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $36.31	Facility		$13.80	$19.95	$36.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $13.18	Professional		$10.00	$12.02	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $15.85	Facility		$13.18	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $14.79	Professional		$5.62	$7.59	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $23.99	Professional		$6.03	$6.03	$23.99