Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $100.00 / $281.84	Facility		$50.12	$100.00	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $134.90	Professional		$38.02	$44.67	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $165.96	Facility		$53.70	$114.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $74.13	Professional		$32.36	$54.95	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $75.86	Professional		$33.11	$39.81	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $97.72	Facility		$51.29	$51.29	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $154.88	Facility		$51.29	$89.13	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $61.66	Professional		$45.71	$45.71	$61.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $141.25	Facility		$53.70	$77.62	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $51.29	Professional		$38.90	$45.71	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $61.66	Facility		$51.29	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $57.54	Professional		$21.38	$25.70	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $93.33	Professional		$22.91	$22.91	$93.33