Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $131.83 / $316.23	Facility		$46.77	$131.83	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $138.04	Professional		$34.67	$42.66	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $32.36	Professional		$28.84	$28.84	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $100.00 / $151.36	Facility		$48.98	$100.00	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $93.33	Professional		$29.51	$53.70	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $64.57	Professional		$30.20	$41.69	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $91.20	Facility		$46.77	$46.77	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $141.25	Facility		$46.77	$81.28	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Professional		$42.66	$42.66	$56.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.79 / $128.82	Facility		$48.98	$70.79	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $46.77	Professional		$35.48	$42.66	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $56.23	Facility		$46.77	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $52.48	Professional		$19.95	$26.92	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $85.11	Professional		$21.38	$21.38	$85.11