Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $44.67 / $112.20	Facility		$12.30	$44.67	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $24.55	Professional		$8.91	$10.96	$24.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $8.71	Professional		$7.41	$7.41	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $26.30 / $39.81	Facility		$12.88	$26.30	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.13 / $25.12	Professional		$7.76	$14.13	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $64.57	Professional		$7.94	$10.96	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $27.54	Facility		$12.30	$12.30	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.88 / $37.15	Facility		$12.30	$21.88	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.79	Professional		$11.22	$11.22	$14.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $33.88	Facility		$12.88	$18.62	$33.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $12.30	Professional		$9.33	$11.22	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.79 / $14.79	Facility		$12.30	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.31 / $13.80	Professional		$5.25	$6.31	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $22.39	Professional		$5.62	$5.62	$22.39