Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $25.12 / $102.33	Facility		$6.76	$25.12	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $43.65	Professional		$5.01	$6.03	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.68	Professional		$4.07	$4.07	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $24.55	Facility		$7.08	$15.14	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.76 / $13.49	Professional		$4.17	$7.76	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.03 / $64.57	Professional		$4.37	$6.03	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $15.14	Facility		$6.76	$6.76	$15.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $20.42	Facility		$6.76	$12.02	$20.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $8.13	Professional		$6.17	$6.17	$8.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.23 / $18.62	Facility		$7.08	$10.23	$18.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $6.76	Professional		$5.13	$6.17	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.13 / $8.13	Facility		$6.76	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.80 / $7.59	Professional		$2.88	$3.80	$7.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $12.30	Professional		$3.09	$3.09	$12.30