Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $39.81 / $100.00	Facility		$18.62	$39.81	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $33.11	Professional		$12.88	$15.14	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $16.98	Professional		$10.23	$10.23	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $54.95	Facility		$17.78	$38.02	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.95 / $33.88	Professional		$10.72	$19.95	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $75.86	Professional		$10.96	$13.18	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $25.70	Facility		$16.98	$16.98	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $51.29	Facility		$16.98	$30.20	$51.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $20.42	Professional		$15.49	$15.49	$20.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $46.77	Facility		$18.20	$25.70	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $16.98	Professional		$12.88	$15.49	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $20.42	Facility		$16.98	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $19.05	Professional		$7.24	$8.51	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $30.90	Professional		$7.76	$7.76	$30.90