Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $45.71 / $125.89	Facility		$10.72	$45.71	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $37.15	Professional		$7.94	$9.77	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.46 / $19.95	Professional		$4.57	$6.46	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $23.99 / $38.90	Facility		$11.22	$23.99	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.30 / $21.38	Professional		$6.76	$12.30	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $64.57	Professional		$6.92	$9.33	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $23.44	Facility		$10.72	$10.72	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $32.36	Facility		$10.72	$18.62	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.88	Professional		$9.77	$9.77	$12.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.22 / $29.51	Facility		$11.22	$16.22	$29.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $10.72	Professional		$8.13	$9.77	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.88 / $12.88	Facility		$10.72	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.17 / $12.02	Professional		$4.47	$6.17	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $19.50	Professional		$4.79	$4.79	$19.50