Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $46.77 / $114.82	Facility		$14.45	$46.77	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $70.79	Professional		$10.96	$13.80	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $10.72	Professional		$9.33	$9.33	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.88 / $51.29	Facility		$15.85	$33.88	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $30.90	Professional		$9.55	$17.38	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $64.57	Professional		$9.77	$13.49	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.11	Facility		$15.49	$15.49	$33.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $45.71	Facility		$15.49	$26.92	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.20	Professional		$13.80	$13.80	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.91 / $41.69	Facility		$16.22	$22.91	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $15.49	Professional		$11.48	$13.80	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $18.20	Facility		$15.49	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.71 / $18.20	Professional		$6.46	$8.71	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $27.54	Professional		$6.92	$6.92	$27.54