Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $54.95 / $275.42	Facility		$14.79	$54.95	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $39.81	Professional		$10.96	$14.13	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.11 / $53.70	Facility		$15.49	$33.11	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $30.20	Professional		$9.55	$17.38	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $64.57	Professional		$9.55	$13.18	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.11	Facility		$15.14	$15.14	$33.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $44.67	Facility		$15.14	$26.30	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $18.20	Professional		$13.49	$13.49	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $41.69	Facility		$15.85	$22.39	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $15.14	Professional		$11.22	$13.49	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Facility		$15.14	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $16.98	Professional		$6.31	$8.71	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $26.92	Professional		$6.76	$6.76	$26.92