Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $1,548.82	Facility		$81.28	$169.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $100.00	Professional		$44.67	$61.66	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $158.49 / $204.17	Facility		$48.98	$158.49	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $112.20	Professional		$32.36	$75.86	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $77.62	Professional		$32.36	$50.12	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $117.49	Facility		$77.62	$77.62	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $134.90 / $234.42	Facility		$77.62	$134.90	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $213.80	Facility		$81.28	$117.49	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $77.62	Professional		$58.88	$70.79	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $93.33	Facility		$77.62	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $77.62	Professional		$21.88	$32.36	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $141.25	Professional		$34.67	$34.67	$141.25