Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $21.88 / $79.43	Facility		$5.01	$21.88	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.01 / $32.36	Professional		$3.89	$5.01	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.47 / $9.33	Professional		$3.09	$3.47	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $11.22 / $16.22	Facility		$5.25	$11.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.31 / $10.23	Professional		$3.09	$6.31	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.47 / $64.57	Professional		$3.24	$4.47	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $10.23	Facility		$5.01	$5.01	$10.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.71 / $15.14	Facility		$5.01	$8.71	$15.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $6.03	Professional		$4.47	$4.47	$6.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.59 / $13.80	Facility		$5.25	$7.59	$13.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.47 / $5.01	Professional		$3.80	$4.47	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.03 / $6.03	Facility		$5.01	$6.03	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.51 / $5.62	Professional		$2.09	$2.51	$5.62