Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $40.74 / $107.15	Facility		$20.89	$40.74	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $34.67	Professional		$12.88	$16.22	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $40.74 / $58.88	Facility		$19.05	$40.74	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $36.31	Professional		$11.48	$20.89	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $64.57	Professional		$11.75	$16.22	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $38.90	Facility		$18.20	$18.20	$38.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $54.95	Facility		$18.20	$32.36	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Professional		$16.60	$16.60	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $50.12	Facility		$19.50	$27.54	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $18.20	Professional		$13.80	$16.60	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $21.88	Professional		$7.76	$10.47	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $33.11	Professional		$8.32	$8.32	$33.11