Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $66.07 / $186.21	Facility		$21.38	$66.07	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $70.79	Professional		$15.14	$19.05	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $46.77 / $70.79	Facility		$15.14	$46.77	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.12 / $43.65	Professional		$13.80	$25.12	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $64.57	Professional		$14.13	$19.50	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $47.86	Facility		$21.88	$21.88	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.90 / $66.07	Facility		$21.88	$38.90	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Professional		$19.95	$19.95	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $60.26	Facility		$22.91	$33.11	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $21.88	Professional		$16.60	$19.95	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $26.30	Facility		$21.88	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $24.55	Professional		$9.33	$12.59	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $39.81	Professional		$10.00	$10.00	$39.81