Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $20.89 / $89.13	Facility		$3.80	$20.89	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.95 / $20.42	Professional		$2.04	$2.95	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.19 / $5.89	Professional		$1.74	$2.19	$5.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $7.08 / $11.48	Facility		$3.31	$7.08	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.72 / $6.31	Professional		$2.00	$3.72	$6.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.82 / $3.39	Professional		$2.04	$2.82	$3.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $7.08	Facility		$3.16	$3.16	$7.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.50 / $9.55	Facility		$3.16	$5.50	$9.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $3.80	Professional		$2.82	$2.82	$3.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.79 / $8.71	Facility		$3.31	$4.79	$8.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.82 / $3.16	Professional		$2.40	$2.82	$3.16
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.80 / $3.80	Facility		$3.16	$3.80	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.57 / $4.47	Professional		$1.91	$2.57	$4.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $5.75	Professional		$1.45	$1.45	$5.75