Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $28.84 / $100.00	Facility		$5.13	$28.84	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $32.36	Professional		$3.98	$5.13	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $8.51 / $9.77	Professional		$3.63	$8.51	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $11.48 / $18.62	Facility		$5.37	$11.48	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.61 / $10.23	Professional		$3.31	$6.61	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.57 / $5.50	Professional		$3.31	$4.57	$5.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $9.12	Facility		$5.13	$5.13	$9.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.12 / $15.49	Facility		$5.13	$9.12	$15.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $6.17	Professional		$4.68	$4.68	$6.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.76 / $14.13	Facility		$5.50	$7.76	$14.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.68 / $5.13	Professional		$3.89	$4.68	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.17 / $6.17	Facility		$5.13	$6.17	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.27 / $7.24	Professional		$3.09	$4.27	$7.24