Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $194.98	Facility		$43.65	$109.65	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $61.66	Professional		$21.88	$28.18	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $72.44 / $104.71	Facility		$33.88	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $37.15 / $64.57	Professional		$20.42	$37.15	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $64.57	Professional		$20.89	$28.18	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $61.66	Facility		$32.36	$32.36	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $97.72	Facility		$32.36	$56.23	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Professional		$28.84	$28.84	$38.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $89.13	Facility		$33.88	$48.98	$89.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $32.36	Professional		$23.99	$28.84	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.90 / $38.90	Facility		$32.36	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $36.31	Professional		$13.49	$18.62	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $57.54	Professional		$14.45	$14.45	$57.54