Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $52.48 / $154.88	Facility		$20.42	$52.48	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $28.84	Professional		$15.85	$19.50	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Professional		$12.88	$12.88	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $47.86 / $69.18	Facility		$22.39	$47.86	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $43.65	Professional		$13.49	$24.55	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $64.57	Professional		$13.80	$19.05	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $47.86	Facility		$21.88	$21.88	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $64.57	Facility		$21.88	$38.02	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $26.30	Professional		$19.50	$19.50	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $60.26	Facility		$22.91	$32.36	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $21.88	Professional		$16.22	$19.50	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $26.30	Facility		$21.88	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $24.55	Professional		$9.12	$12.30	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $38.90	Professional		$9.77	$9.77	$38.90