Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $77.62 / $263.03	Facility		$17.78	$77.62	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $117.49	Professional		$12.88	$15.85	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $12.30	Professional		$10.96	$10.96	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $39.81 / $57.54	Facility		$18.62	$39.81	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $35.48	Professional		$11.22	$20.42	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $64.57	Professional		$11.48	$15.85	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $39.81	Facility		$17.78	$17.78	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $53.70	Facility		$17.78	$31.62	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.38	Professional		$16.22	$16.22	$21.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $48.98	Facility		$18.62	$26.92	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $17.78	Professional		$13.49	$16.22	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $21.38	Facility		$17.78	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $21.38	Professional		$7.59	$10.23	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $32.36	Professional		$8.13	$8.13	$32.36