Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $39.81 / $95.50	Facility		$11.48	$39.81	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $30.90	Professional		$7.94	$10.00	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $7.94	Professional		$6.92	$6.92	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $39.81	Facility		$12.02	$25.70	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.18 / $22.91	Professional		$7.24	$13.18	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $64.57	Professional		$7.41	$10.23	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $21.88	Facility		$11.48	$11.48	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.95 / $34.67	Facility		$11.48	$19.95	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.80	Professional		$10.47	$10.47	$13.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $31.62	Facility		$12.02	$17.38	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $11.48	Professional		$8.71	$10.47	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.80 / $13.80	Facility		$11.48	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $13.80	Professional		$4.79	$6.61	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $20.89	Professional		$5.25	$5.25	$20.89