Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $52.48 / $131.83	Facility		$12.88	$52.48	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $38.02	Professional		$10.00	$11.75	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $24.55	Professional		$6.61	$9.12	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $42.66	Facility		$13.80	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $26.30	Professional		$8.13	$15.14	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $64.57	Professional		$8.51	$11.48	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $22.91	Facility		$13.18	$13.18	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.91 / $39.81	Facility		$13.18	$22.91	$39.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.85	Professional		$11.75	$11.75	$15.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $36.31	Facility		$13.80	$19.95	$36.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $13.18	Professional		$10.00	$11.75	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $15.85	Facility		$13.18	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $14.79	Professional		$5.50	$6.61	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $23.99	Professional		$5.89	$5.89	$23.99