Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $81.28 / $218.78	Facility		$13.49	$81.28	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $36.31	Professional		$10.00	$12.02	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $45.71	Facility		$14.13	$30.20	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.85 / $27.54	Professional		$8.51	$15.85	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $64.57	Professional		$8.71	$12.02	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $20.42	Facility		$13.49	$13.49	$20.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $40.74	Facility		$13.49	$23.99	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $16.22	Professional		$12.30	$12.30	$16.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $37.15	Facility		$14.13	$20.42	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $13.49	Professional		$10.23	$12.30	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $16.22	Facility		$13.49	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $15.14	Professional		$5.75	$6.76	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $24.55	Professional		$6.17	$6.17	$24.55