Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $61.66 / $229.09	Facility		$9.55	$61.66	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $9.55 / $60.26	Professional		$3.39	$9.55	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.17 / $6.17	Professional		$5.89	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $21.88 / $45.71	Facility		$10.23	$21.88	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $11.22 / $20.89	Professional		$5.25	$11.22	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $25.12	Professional		$7.59	$9.33	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $14.79	Facility		$9.77	$9.77	$14.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.49 / $33.11	Facility		$8.71	$15.49	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.75	Professional		$8.71	$8.71	$11.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $295.12	Facility		$100.00	$154.88	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.71 / $9.77	Professional		$7.41	$8.71	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $354.81	Facility		$147.91	$194.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.90 / $10.96	Professional		$4.07	$4.90	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $17.78	Professional		$4.37	$4.37	$17.78