Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $56.23 / $275.42	Facility		$11.75	$56.23	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $75.86	Professional		$8.91	$19.05	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $42.66	Facility		$12.59	$26.92	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.49 / $23.99	Professional		$7.41	$13.49	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $64.57	Professional		$7.76	$10.47	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $22.91	Facility		$12.02	$12.02	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $36.31	Facility		$12.02	$20.89	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.45	Professional		$10.72	$10.72	$14.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $33.11	Facility		$12.59	$18.20	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $12.02	Professional		$8.91	$10.72	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $14.45	Facility		$12.02	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $13.49	Professional		$5.01	$6.03	$13.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $21.38	Professional		$5.37	$5.37	$21.38