Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.50 / $52.48	Facility		$12.30	$19.50	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $33.11	Professional		$6.03	$7.94	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.95 / $28.84	Facility		$9.33	$19.95	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.23 / $18.20	Professional		$5.62	$10.23	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $64.57	Professional		$5.75	$7.76	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $16.98	Facility		$8.91	$8.91	$16.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.49 / $26.92	Facility		$8.91	$15.49	$26.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.72	Professional		$7.94	$7.94	$10.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.49 / $24.55	Facility		$9.33	$13.49	$24.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.94 / $8.91	Professional		$6.76	$7.94	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.72 / $10.72	Facility		$8.91	$10.72	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.13 / $10.00	Professional		$3.72	$5.13	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $16.22	Professional		$3.98	$3.98	$16.22