Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $37.15 / $257.04	Facility		$15.49	$37.15	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $43.65	Professional		$12.02	$22.91	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $51.29	Facility		$16.60	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.62 / $32.36	Professional		$10.00	$18.62	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $64.57	Professional		$10.23	$14.13	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.18 / $47.86	Facility		$16.22	$28.18	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.50	Professional		$14.45	$14.45	$19.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $44.67	Facility		$16.98	$23.99	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $16.22	Professional		$12.02	$14.45	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $19.50	Facility		$16.22	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $18.20	Professional		$6.76	$9.12	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $28.84	Professional		$7.24	$7.24	$28.84