Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $13.49 / $35.48	Facility		$4.90	$13.49	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $12.30 / $32.36	Professional		$3.98	$12.30	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.76 / $10.00	Professional		$2.14	$6.76	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $11.22 / $17.78	Facility		$5.25	$11.22	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.75 / $19.05	Professional		$3.09	$5.75	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.47 / $64.57	Professional		$3.24	$4.47	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $9.55	Facility		$5.01	$5.01	$9.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.71 / $15.14	Facility		$5.01	$8.71	$15.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $6.03	Professional		$4.47	$4.47	$6.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.59 / $13.80	Facility		$5.25	$7.59	$13.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.47 / $5.01	Professional		$3.80	$4.47	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.03 / $6.03	Facility		$5.01	$6.03	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.72 / $8.32	Professional		$3.02	$3.72	$8.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $9.12	Professional		$2.24	$2.24	$9.12