Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $35.48 / $151.36	Facility		$15.14	$35.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $46.77	Professional		$10.00	$12.88	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.88 / $43.65	Facility		$14.79	$33.88	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $22.91	Professional		$7.94	$16.22	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $64.57	Professional		$9.77	$13.49	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $31.62	Facility		$15.14	$15.14	$31.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $45.71	Facility		$15.14	$26.92	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.20	Professional		$13.80	$13.80	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.91 / $41.69	Facility		$16.22	$22.91	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $15.14	Professional		$11.48	$13.80	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Facility		$15.14	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.61 / $15.85	Professional		$6.46	$6.61	$15.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $27.54	Professional		$6.92	$6.92	$27.54