Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $54.95 / $125.89	Facility		$14.79	$54.95	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $323.59	Professional		$12.02	$13.49	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $10.47	Professional		$8.91	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.11 / $47.86	Facility		$15.49	$33.11	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $29.51	Professional		$9.33	$16.98	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $15.85	Professional		$9.55	$13.18	$15.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Facility		$15.14	$15.14	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $44.67	Facility		$15.14	$26.30	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.78	Professional		$13.49	$13.49	$17.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $41.69	Facility		$15.85	$22.39	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $15.14	Professional		$11.22	$13.49	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $17.78	Facility		$15.14	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $16.98	Professional		$6.31	$7.94	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $26.92	Professional		$6.76	$6.76	$26.92