Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $61.66 / $138.04	Facility		$17.38	$61.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $79.43	Professional		$12.88	$15.85	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.30	Professional		$10.47	$10.47	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $37.15 / $56.23	Facility		$18.20	$37.15	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $34.67	Professional		$10.96	$20.42	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $64.57	Professional		$11.22	$15.49	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $38.90	Facility		$17.78	$17.78	$38.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.90 / $52.48	Facility		$17.78	$30.90	$52.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $21.38	Professional		$15.85	$15.85	$21.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.30 / $48.98	Facility		$18.62	$26.30	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $17.78	Professional		$13.18	$15.85	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $21.38	Facility		$17.78	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $19.95	Professional		$7.41	$10.00	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $31.62	Professional		$7.94	$7.94	$31.62