Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $40.74 / $123.03	Facility		$28.84	$40.74	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $85.11	Professional		$14.45	$16.98	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $44.67 / $61.66	Facility		$21.88	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $24.55 / $37.15	Professional		$11.75	$24.55	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $64.57	Professional		$13.49	$18.62	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $45.71	Facility		$20.89	$20.89	$45.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $63.10	Facility		$20.89	$36.31	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $25.12	Professional		$19.05	$19.05	$25.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $31.62 / $57.54	Facility		$21.88	$31.62	$57.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $20.89	Professional		$15.85	$19.05	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.12 / $25.12	Facility		$20.89	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $23.44	Professional		$8.71	$10.72	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $38.02	Professional		$9.33	$9.33	$38.02