Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $72.44 / $169.82	Facility		$26.30	$72.44	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $53.70	Professional		$19.05	$25.12	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $19.50	Professional		$16.98	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $60.26 / $91.20	Facility		$19.50	$60.26	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $56.23	Professional		$17.38	$32.36	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $64.57	Professional		$17.78	$24.55	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $53.70	Facility		$28.18	$28.18	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $48.98 / $85.11	Facility		$28.18	$48.98	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $33.88	Professional		$25.12	$25.12	$33.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $77.62	Facility		$29.51	$41.69	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $28.18	Professional		$20.89	$25.12	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $33.88	Facility		$28.18	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $31.62	Professional		$11.75	$14.13	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Professional		$12.59	$12.59	$50.12