Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $50.12 / $125.89	Facility		$11.48	$50.12	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $35.48	Professional		$8.91	$10.96	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $22.39	Professional		$5.13	$7.24	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $38.90	Facility		$12.59	$26.92	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.49 / $23.99	Professional		$7.41	$13.49	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $12.88	Professional		$7.76	$10.72	$12.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.30	Facility		$12.02	$12.02	$26.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $36.31	Facility		$12.02	$20.89	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Professional		$10.96	$10.96	$14.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $33.11	Facility		$12.59	$18.20	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $12.02	Professional		$9.12	$10.96	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $14.45	Facility		$12.02	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $13.49	Professional		$5.01	$6.92	$13.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $21.88	Professional		$5.37	$5.37	$21.88