Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $30.90 / $79.43	Facility		$9.55	$30.90	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $26.30	Professional		$7.08	$8.71	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.76	Professional		$5.89	$5.89	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.38 / $30.90	Facility		$10.00	$21.38	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.22 / $19.50	Professional		$6.03	$11.22	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $64.57	Professional		$6.17	$8.51	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $21.38	Facility		$9.77	$9.77	$21.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.98 / $28.84	Facility		$9.77	$16.98	$28.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.75	Professional		$8.71	$8.71	$11.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.45 / $26.92	Facility		$10.23	$14.45	$26.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $9.77	Professional		$7.24	$8.71	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.75 / $11.75	Facility		$9.77	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.50 / $10.96	Professional		$4.07	$5.50	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $17.38	Professional		$4.37	$4.37	$17.38