Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $40.74 / $87.10	Facility		$13.18	$40.74	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $25.12	Professional		$10.00	$11.75	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $47.86	Facility		$13.80	$29.51	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $26.30	Professional		$8.13	$15.14	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $64.57	Professional		$8.51	$11.75	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $29.51	Facility		$13.18	$13.18	$29.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.44 / $39.81	Facility		$13.18	$23.44	$39.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $36.31	Facility		$13.80	$19.95	$36.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $13.18	Professional		$10.00	$12.02	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $15.85	Facility		$13.18	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $14.79	Professional		$5.62	$7.59	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $23.99	Professional		$6.03	$6.03	$23.99