Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $52.48 / $158.49	Facility		$12.02	$52.48	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $77.62	Professional		$8.91	$11.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.71 / $8.71	Professional		$7.59	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $41.69	Facility		$13.18	$28.18	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $25.12	Professional		$7.76	$14.45	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.96 / $64.57	Professional		$8.13	$10.96	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $25.70	Facility		$12.59	$12.59	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.88 / $38.02	Facility		$12.59	$21.88	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $15.14	Professional		$11.22	$11.22	$15.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $34.67	Facility		$13.18	$19.05	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $12.59	Professional		$9.33	$11.22	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $15.14	Facility		$12.59	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.24 / $14.13	Professional		$5.25	$7.24	$14.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $22.39	Professional		$5.62	$5.62	$22.39