Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $154.88	Facility		$26.30	$57.54	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $52.48	Professional		$15.85	$20.89	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $56.23 / $69.18	Facility		$18.20	$56.23	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.18 / $38.90	Professional		$13.49	$28.18	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $64.57	Professional		$16.98	$23.44	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $39.81	Facility		$26.92	$26.92	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $79.43	Facility		$26.92	$46.77	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $32.36	Professional		$23.99	$23.99	$32.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $74.13	Facility		$28.18	$39.81	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $26.92	Professional		$19.95	$23.99	$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 $10.47 / $11.22 / $26.92	Professional		$10.47	$11.22	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $47.86	Professional		$12.02	$12.02	$47.86