Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $141.25	Facility		$20.42	$54.95	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $43.65	Professional		$15.85	$19.50	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.14	Professional		$13.18	$13.18	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $45.71 / $69.18	Facility		$22.39	$45.71	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $43.65	Professional		$13.80	$24.55	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $64.57	Professional		$13.80	$19.05	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $38.02	Facility		$21.88	$21.88	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $64.57	Facility		$21.88	$38.02	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $26.30	Professional		$19.50	$19.50	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $60.26	Facility		$22.91	$32.36	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $21.88	Professional		$16.22	$19.50	$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 $9.12 / $10.96 / $24.55	Professional		$9.12	$10.96	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $38.90	Professional		$9.77	$9.77	$38.90