Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $77.62 / $144.54	Facility		$19.50	$77.62	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $56.23	Professional		$15.49	$18.62	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $44.67 / $67.61	Facility		$21.88	$44.67	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $41.69	Professional		$13.18	$23.99	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $21.88	Professional		$13.49	$18.20	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $39.81	Facility		$20.89	$20.89	$39.81
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 $18.62 / $18.62 / $25.12	Professional		$18.62	$18.62	$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 $15.49 / $18.62 / $20.89	Professional		$15.49	$18.62	$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 / $12.02 / $23.44	Professional		$8.71	$12.02	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $37.15	Professional		$9.33	$9.33	$37.15