Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $53.70 / $114.82	Facility		$12.30	$53.70	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $79.43	Professional		$10.00	$11.75	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $23.99	Professional		$7.94	$8.91	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $27.54 / $41.69	Facility		$13.49	$27.54	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.60 / $25.70	Professional		$7.94	$16.60	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $13.80	Professional		$8.32	$11.22	$13.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $23.99	Facility		$12.88	$12.88	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.39 / $38.90	Facility		$12.88	$22.39	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $15.49	Professional		$11.48	$11.48	$15.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $35.48	Facility		$13.49	$19.50	$35.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $12.88	Professional		$9.55	$11.48	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $15.49	Facility		$12.88	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $17.78	Professional		$7.76	$10.47	$17.78