Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $42.66 / $138.04	Facility		$19.50	$42.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $77.62	Professional		$14.13	$18.20	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $43.65 / $63.10	Facility		$20.42	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $38.90	Professional		$12.30	$22.39	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $64.57	Professional		$12.59	$17.38	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $29.51	Facility		$19.50	$19.50	$29.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.88 / $58.88	Facility		$19.50	$33.88	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.44	Professional		$17.78	$17.78	$23.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $53.70	Facility		$20.42	$29.51	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $19.50	Professional		$14.79	$17.78	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $23.44	Facility		$19.50	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $21.88	Professional		$8.13	$9.77	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $35.48	Professional		$8.71	$8.71	$35.48