Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $104.71 / $234.42	Facility		$40.74	$104.71	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $53.70 / $199.53	Professional		$24.55	$53.70	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Professional		$12.88	$12.88	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $61.66 / $77.62	Facility		$15.49	$61.66	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $23.99 / $43.65	Professional		$10.23	$23.99	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $64.57	Professional		$19.05	$26.30	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Facility		$30.20	$30.20	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $89.13	Facility		$30.20	$52.48	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $44.67 / $83.18	Facility		$31.62	$44.67	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $30.20	Professional		$22.39	$26.92	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $36.31	Facility		$30.20	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $30.20	Professional		$7.08	$12.59	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Professional		$13.49	$13.49	$53.70