Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $70.79 / $223.87	Facility		$19.95	$70.79	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $91.20	Professional		$15.14	$18.20	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $14.13	Professional		$12.30	$12.30	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $44.67 / $72.44	Facility		$21.38	$44.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $40.74	Professional		$12.88	$23.44	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $64.57	Professional		$12.88	$17.78	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $44.67	Facility		$20.42	$20.42	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $61.66	Facility		$20.42	$35.48	$61.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Professional		$18.20	$18.20	$24.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $56.23	Facility		$21.38	$30.20	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $20.42	Professional		$15.14	$18.20	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $24.55	Facility		$20.42	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $22.91	Professional		$8.51	$11.48	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $36.31	Professional		$9.12	$9.12	$36.31