Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $181.97	Facility		$53.70	$100.00	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $131.83	Professional		$20.89	$26.92	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $29.51	Professional		$17.78	$17.78	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $95.50	Facility		$30.90	$66.07	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $58.88	Professional		$18.62	$34.67	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $31.62	Professional		$19.05	$26.30	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $66.07	Facility		$29.51	$29.51	$66.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $89.13	Facility		$29.51	$51.29	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Professional		$26.92	$26.92	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $81.28	Facility		$30.90	$44.67	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $29.51	Professional		$22.39	$26.92	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $35.48	Facility		$29.51	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $33.11	Professional		$12.30	$16.98	$33.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $53.70	Professional		$13.18	$13.18	$53.70