Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $81.28 / $676.08	Facility		$17.78	$81.28	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $64.57 / $186.21	Professional		$15.49	$64.57	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $38.02 / $57.54	Facility		$18.62	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $36.31	Professional		$11.22	$20.42	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $64.57	Professional		$11.48	$15.85	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $33.88	Facility		$17.78	$17.78	$33.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $53.70	Facility		$17.78	$31.62	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.38	Professional		$16.22	$16.22	$21.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $48.98	Facility		$18.62	$26.92	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $17.78	Professional		$13.49	$16.22	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $21.38	Facility		$17.78	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $19.95	Professional		$7.59	$10.23	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $32.36	Professional		$8.13	$8.13	$32.36