Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $91.20	Facility		$21.38	$33.88	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $30.20	Professional		$10.96	$14.13	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $34.67 / $50.12	Facility		$16.22	$34.67	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.20 / $31.62	Professional		$9.77	$18.20	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $64.57	Professional		$10.00	$13.80	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $34.67	Facility		$15.85	$15.85	$34.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.54 / $46.77	Facility		$15.85	$27.54	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.44 / $43.65	Facility		$16.60	$23.44	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $15.85	Professional		$11.75	$14.13	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $19.05	Facility		$15.85	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $17.78	Professional		$6.61	$8.91	$17.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $28.18	Professional		$7.08	$7.08	$28.18