Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $218.78	Facility		$22.91	$51.29	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $46.77	Professional		$15.85	$18.20	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $51.29 / $64.57	Facility		$23.44	$51.29	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.30 / $36.31	Professional		$12.59	$26.30	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $64.57	Professional		$15.49	$21.38	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $41.69	Facility		$23.99	$23.99	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $42.66 / $72.44	Facility		$23.99	$42.66	$72.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Professional		$21.88	$21.88	$28.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $36.31 / $66.07	Facility		$25.12	$36.31	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $23.99	Professional		$18.20	$21.88	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $28.84	Facility		$23.99	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $25.12	Professional		$10.23	$10.23	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $43.65	Professional		$10.96	$10.96	$43.65