Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $51.29 / $162.18	Facility		$11.75	$51.29	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $22.39	Professional		$7.94	$10.96	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $26.92 / $40.74	Facility		$12.88	$26.92	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $24.55	Professional		$7.59	$14.13	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $64.57	Professional		$7.76	$10.72	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $21.88	Facility		$12.30	$12.30	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.38 / $37.15	Facility		$12.30	$21.38	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.79	Professional		$10.96	$10.96	$14.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.20 / $33.88	Facility		$12.88	$18.20	$33.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $12.30	Professional		$9.12	$10.96	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.79 / $14.79	Facility		$12.30	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $13.80	Professional		$5.13	$6.17	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $21.88	Professional		$5.50	$5.50	$21.88