Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $371.54	Facility		$66.07	$177.83	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $295.12	Professional		$52.48	$61.66	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $125.89	Professional		$33.88	$43.65	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $144.54 / $213.80	Facility		$70.79	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $134.90	Professional		$41.69	$77.62	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $70.79	Professional		$42.66	$58.88	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $128.82	Facility		$67.61	$67.61	$128.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $117.49 / $204.17	Facility		$67.61	$117.49	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $186.21	Facility		$70.79	$100.00	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $67.61	Professional		$50.12	$60.26	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $81.28	Facility		$67.61	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $81.28	Professional		$28.18	$38.90	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $120.23	Professional		$30.20	$30.20	$120.23