Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $23.44 / $61.66	Facility		$10.23	$23.44	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.91 / $56.23	Professional		$6.76	$8.91	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $10.23	Professional		$6.31	$6.31	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.91 / $33.11	Facility		$10.72	$22.91	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.02 / $20.42	Professional		$6.31	$12.02	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $64.57	Professional		$6.61	$9.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $19.50	Facility		$10.23	$10.23	$19.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $18.20 / $30.90	Facility		$10.23	$18.20	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $12.30	Professional		$9.33	$9.33	$12.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.49 / $28.18	Facility		$10.96	$15.49	$28.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $10.23	Professional		$7.76	$9.33	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.30 / $12.30	Facility		$10.23	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.89 / $12.30	Professional		$4.37	$5.89	$12.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $18.62	Professional		$4.68	$4.68	$18.62