Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $112.20 / $316.23	Facility		$23.99	$112.20	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $45.71 / $107.15	Professional		$19.95	$45.71	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $53.70 / $81.28	Facility		$26.30	$53.70	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $50.12	Professional		$15.85	$29.51	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $64.57	Professional		$16.22	$22.39	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $54.95	Facility		$25.70	$25.70	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $75.86	Facility		$25.70	$44.67	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $30.20	Professional		$22.91	$22.91	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $69.18	Facility		$26.92	$38.02	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $25.70	Professional		$19.05	$22.91	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $30.20	Facility		$25.70	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $30.20	Professional		$10.72	$14.45	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $45.71	Professional		$11.48	$11.48	$45.71