Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $281.84	Facility		$38.02	$89.13	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $112.20	Professional		$25.12	$33.88	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $26.30	Professional		$22.91	$22.91	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $79.43 / $120.23	Facility		$38.90	$79.43	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $75.86	Professional		$23.44	$43.65	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $64.57	Professional		$23.99	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $70.79	Facility		$38.02	$38.02	$70.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $112.20	Facility		$38.02	$66.07	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Professional		$33.88	$33.88	$45.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $56.23 / $104.71	Facility		$39.81	$56.23	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $38.02	Professional		$28.18	$33.88	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $45.71	Facility		$38.02	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $42.66	Professional		$15.85	$20.89	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $67.61	Professional		$16.98	$16.98	$67.61