Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $25.12 / $64.57	Facility		$5.89	$25.12	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.50 / $30.90	Professional		$3.98	$5.50	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.17 / $4.17	Professional		$3.63	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.49 / $19.50	Facility		$6.31	$13.49	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.08 / $12.30	Professional		$3.80	$7.08	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.25 / $64.57	Professional		$3.89	$5.25	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $12.30	Facility		$6.03	$6.03	$12.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.47 / $18.20	Facility		$6.03	$10.47	$18.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $7.24	Professional		$5.37	$5.37	$7.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.12 / $16.60	Facility		$6.31	$9.12	$16.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $6.03	Professional		$4.47	$5.37	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $7.24	Facility		$6.03	$7.24	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.16 / $6.76	Professional		$2.51	$3.16	$6.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $10.96	Professional		$2.69	$2.69	$10.96