Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $47.86 / $87.10	Facility		$12.02	$47.86	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $20.89	Professional		$8.51	$10.72	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.59 / $7.59	Professional		$7.24	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $30.90	Facility		$12.30	$24.55	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.49 / $16.98	Professional		$6.46	$13.49	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $18.20	Facility		$12.02	$12.02	$18.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $36.31	Facility		$12.02	$21.38	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Professional		$10.96	$10.96	$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 $9.12 / $10.96 / $12.02	Professional		$9.12	$10.96	$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 $5.13 / $5.13 / $12.02	Professional		$5.13	$5.13	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $21.88	Professional		$5.50	$5.50	$21.88