Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $40.74 / $181.97	Facility		$10.72	$40.74	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $70.79	Professional		$7.94	$10.00	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
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 / $9.55 / $64.57	Professional		$6.92	$9.55	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $23.99	Facility		$10.72	$10.72	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $19.05 / $32.36	Facility		$10.72	$19.05	$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 $4.57 / $5.37 / $12.02	Professional		$4.57	$5.37	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $19.50	Professional		$4.90	$4.90	$19.50