Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $75.86 / $234.42	Facility		$23.99	$75.86	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $56.23	Professional		$22.39	$32.36	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $64.57 / $104.71	Facility		$13.18	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $21.38 / $57.54	Professional		$9.12	$21.38	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $64.57	Professional		$25.70	$35.48	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Facility		$39.81	$39.81	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $120.23	Facility		$39.81	$70.79	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $47.86	Professional		$36.31	$36.31	$47.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $109.65	Facility		$42.66	$60.26	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $39.81	Professional		$30.20	$36.31	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $47.86	Facility		$39.81	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $16.98 / $39.81	Professional		$6.03	$16.98	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Professional		$18.20	$18.20	$72.44