Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $45.71 / $190.55	Facility		$16.60	$45.71	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $61.66	Professional		$11.75	$15.14	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $11.48	Professional		$10.00	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $35.48 / $53.70	Facility		$11.48	$35.48	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $33.11	Professional		$10.47	$19.50	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $64.57	Professional		$10.72	$14.79	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $33.88	Facility		$16.60	$16.60	$33.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $50.12	Facility		$16.60	$28.84	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.95	Professional		$15.14	$15.14	$19.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.12 / $45.71	Facility		$17.38	$25.12	$45.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $16.60	Professional		$12.59	$15.14	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $19.95	Facility		$16.60	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.32 / $18.62	Professional		$7.08	$8.32	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $30.20	Professional		$7.59	$7.59	$30.20