Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $56.23 / $114.82	Facility		$18.62	$56.23	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $34.67	Professional		$14.13	$16.22	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $39.81 / $60.26	Facility		$19.50	$39.81	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $37.15	Professional		$11.75	$21.38	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $64.57	Professional		$12.02	$16.60	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $41.69	Facility		$18.62	$18.62	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.11 / $56.23	Facility		$18.62	$33.11	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.39	Professional		$16.98	$16.98	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $51.29	Facility		$19.50	$28.18	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $18.62	Professional		$14.13	$16.98	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $22.39	Facility		$18.62	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $20.89	Professional		$7.94	$10.23	$20.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $33.88	Professional		$8.51	$8.51	$33.88