Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $45.71 / $128.82	Facility		$11.22	$45.71	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $52.48	Professional		$8.71	$10.47	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $8.13	Professional		$7.08	$7.08	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.12 / $38.02	Facility		$12.30	$25.12	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.18 / $23.44	Professional		$7.24	$13.18	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $12.59	Professional		$7.59	$10.47	$12.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $25.70	Facility		$11.75	$11.75	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $35.48	Facility		$11.75	$20.42	$35.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $14.13	Professional		$10.47	$10.47	$14.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $32.36	Facility		$12.30	$17.78	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $11.75	Professional		$8.91	$10.47	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $14.13	Facility		$11.75	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.76 / $13.18	Professional		$4.90	$6.76	$13.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $21.38	Professional		$5.25	$5.25	$21.38