Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $85.11 / $199.53	Facility		$36.31	$85.11	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $162.18	Professional		$26.92	$33.88	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $117.49	Facility		$38.02	$81.28	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $72.44	Professional		$22.91	$41.69	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $64.57	Professional		$23.44	$32.36	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Facility		$36.31	$36.31	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $109.65	Facility		$36.31	$64.57	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Professional		$33.11	$33.11	$43.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $100.00	Facility		$38.02	$54.95	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $36.31	Professional		$27.54	$33.11	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $43.65	Facility		$36.31	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $41.69	Professional		$15.49	$20.89	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $66.07	Professional		$16.60	$16.60	$66.07