Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $61.66 / $134.90	Facility		$17.38	$61.66	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $72.44	Professional		$12.02	$14.45	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $11.22	Professional		$9.55	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $51.29	Facility		$16.60	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.62 / $32.36	Professional		$10.00	$18.62	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $64.57	Professional		$10.23	$14.13	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $30.20	Facility		$16.22	$16.22	$30.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.18 / $47.86	Facility		$16.22	$28.18	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Professional		$14.45	$14.45	$19.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $44.67	Facility		$16.98	$23.99	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $16.22	Professional		$12.02	$14.45	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $19.05	Facility		$16.22	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.94 / $17.78	Professional		$6.76	$7.94	$17.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $28.84	Professional		$7.24	$7.24	$28.84