Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $67.61 / $165.96	Facility		$32.36	$67.61	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $44.67	Professional		$21.88	$26.30	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $95.50	Facility		$30.90	$66.07	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $58.88	Professional		$18.20	$33.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $64.57	Professional		$19.05	$25.70	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $56.23	Facility		$29.51	$29.51	$56.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $89.13	Facility		$29.51	$51.29	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $35.48	Professional		$26.30	$26.30	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $81.28	Facility		$30.90	$44.67	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $29.51	Professional		$22.39	$26.30	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $35.48	Facility		$29.51	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $35.48	Professional		$12.30	$16.98	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $53.70	Professional		$13.18	$13.18	$53.70