Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $46.77 / $112.20	Facility		$12.59	$46.77	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $58.88	Professional		$9.77	$11.75	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $23.99	Professional		$7.76	$9.12	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.84 / $46.77	Facility		$13.49	$28.84	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $26.30	Professional		$8.13	$14.79	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $64.57	Professional		$8.32	$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 / $38.90	Facility		$13.18	$22.91	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.49	Professional		$11.75	$11.75	$15.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.50 / $35.48	Facility		$13.80	$19.50	$35.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $13.18	Professional		$9.77	$11.75	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.49 / $15.49	Facility		$13.18	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.46 / $14.45	Professional		$5.50	$6.46	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $23.44	Professional		$5.89	$5.89	$23.44