Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $25.12 / $89.13	Facility		$5.75	$25.12	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $26.30	Professional		$3.02	$3.98	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.57 / $3.63	Professional		$1.82	$2.57	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $9.55 / $15.14	Facility		$4.47	$9.55	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.01 / $8.32	Professional		$2.75	$5.01	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.80 / $4.57	Professional		$2.75	$3.80	$4.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $9.33	Facility		$4.27	$4.27	$9.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $7.41 / $12.88	Facility		$4.27	$7.41	$12.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.13	Professional		$3.80	$3.80	$5.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.46 / $11.75	Facility		$4.47	$6.46	$11.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.80 / $4.27	Professional		$3.24	$3.80	$4.27
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.13 / $5.13	Facility		$4.27	$5.13	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.45 / $4.79	Professional		$1.78	$2.45	$4.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $7.76	Professional		$1.91	$1.91	$7.76