Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $63.10 / $162.18	Facility		$26.30	$63.10	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $40.74	Professional		$20.89	$25.12	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $61.66 / $89.13	Facility		$28.84	$61.66	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $54.95	Professional		$17.38	$31.62	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $64.57	Professional		$17.78	$24.55	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $52.48	Facility		$27.54	$27.54	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $83.18	Facility		$27.54	$48.98	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $33.11	Professional		$25.12	$25.12	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $75.86	Facility		$29.51	$41.69	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $27.54	Professional		$20.89	$25.12	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $33.11	Facility		$27.54	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $30.90	Professional		$11.75	$15.85	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Professional		$12.59	$12.59	$50.12