Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $19.05 / $67.61	Facility		$4.90	$19.05	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $28.18	Professional		$3.02	$4.07	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.09 / $8.32	Professional		$2.69	$3.09	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.00 / $16.22	Facility		$4.68	$10.00	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.37 / $8.71	Professional		$2.75	$5.37	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.89 / $4.79	Professional		$2.88	$3.89	$4.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $10.00	Facility		$4.47	$4.47	$10.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.76 / $13.49	Facility		$4.47	$7.76	$13.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.37	Professional		$4.07	$4.07	$5.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $6.76 / $12.30	Facility		$4.68	$6.76	$12.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.07 / $4.47	Professional		$3.39	$4.07	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.37 / $5.37	Facility		$4.47	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.57 / $5.01	Professional		$1.86	$2.57	$5.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $8.13	Professional		$2.04	$2.04	$8.13