Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $100.00 / $371.54	Facility		$25.70	$100.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $154.88	Professional		$19.95	$25.12	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $18.62	Professional		$16.22	$16.22	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $95.50	Facility		$25.70	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.62 / $50.12	Professional		$16.60	$31.62	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $64.57	Professional		$17.38	$23.99	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Facility		$26.92	$26.92	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $47.86 / $81.28	Facility		$26.92	$47.86	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Professional		$24.55	$24.55	$32.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $40.74 / $74.13	Facility		$28.84	$40.74	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $26.92	Professional		$20.42	$24.55	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $32.36	Facility		$26.92	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.75 / $27.54	Professional		$11.48	$11.75	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $48.98	Professional		$12.30	$12.30	$48.98