Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $46.77 / $114.82	Facility		$13.18	$46.77	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $19.95	Professional		$7.08	$10.96	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $42.66	Facility		$12.59	$28.18	$42.66
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 / $10.23 / $75.86	Professional		$8.51	$10.23	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $25.12	Facility		$13.18	$13.18	$25.12
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