Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $21.88 / $77.62	Facility		$5.37	$21.88	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.37 / $35.48	Professional		$3.98	$5.37	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.02 / $19.50	Facility		$5.62	$12.02	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.17 / $10.72	Professional		$3.31	$6.17	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.79 / $64.57	Professional		$3.47	$4.79	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $12.02	Facility		$5.37	$5.37	$12.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.33 / $16.22	Facility		$5.37	$9.33	$16.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.46	Professional		$4.79	$4.79	$6.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.13 / $14.79	Facility		$5.62	$8.13	$14.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.79 / $5.37	Professional		$4.07	$4.79	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.46 / $6.46	Facility		$5.37	$6.46	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.09 / $6.03	Professional		$2.24	$3.09	$6.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $9.77	Professional		$2.45	$2.45	$9.77