Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $72.44 / $269.15	Facility		$17.38	$72.44	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $77.62	Professional		$14.13	$25.70	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $12.59	Professional		$10.96	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $39.81 / $58.88	Facility		$19.05	$39.81	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $36.31	Professional		$11.22	$20.42	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $64.57	Professional		$11.48	$15.85	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $30.90	Facility		$18.20	$18.20	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $54.95	Facility		$18.20	$31.62	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Professional		$16.22	$16.22	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $50.12	Facility		$19.05	$26.92	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $18.20	Professional		$13.49	$16.22	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $20.42	Professional		$7.59	$9.12	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $32.36	Professional		$8.13	$8.13	$32.36