Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $53.70 / $128.82	Facility		$13.49	$53.70	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $37.15	Professional		$10.23	$12.30	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $25.70	Professional		$8.32	$8.32	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $29.51 / $43.65	Facility		$14.45	$29.51	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.85 / $27.54	Professional		$8.51	$15.85	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $64.57	Professional		$8.71	$12.02	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.20	Facility		$13.80	$13.80	$30.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $41.69	Facility		$13.80	$23.99	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $16.60	Professional		$12.30	$12.30	$16.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $38.02	Facility		$14.45	$20.42	$38.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $13.80	Professional		$10.23	$12.30	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $16.60	Facility		$13.80	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $15.49	Professional		$5.75	$6.92	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $24.55	Professional		$6.17	$6.17	$24.55