Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $47.86 / $107.15	Facility		$8.13	$47.86	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.47 / $33.11	Professional		$5.37	$10.47	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $9.33 / $13.80	Professional		$3.63	$9.33	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.05 / $22.91	Facility		$8.13	$19.05	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.91 / $12.59	Professional		$4.47	$8.91	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $15.49	Professional		$5.50	$7.59	$15.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $12.88	Facility		$8.71	$8.71	$12.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.14 / $25.70	Facility		$8.71	$15.14	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $10.23	Professional		$7.76	$7.76	$10.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.88 / $23.44	Facility		$9.12	$12.88	$23.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $8.71	Professional		$6.46	$7.76	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $10.23	Facility		$8.71	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $8.91	Professional		$5.13	$5.13	$8.91