Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $28.84 / $72.44	Professional		$10.96	$28.84	$72.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.30 / $36.31 / $141.25	Professional	25	$12.30	$36.31	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $36.31	Professional		$19.50	$25.70	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $32.36	Professional		$20.89	$20.89	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $60.26	Professional		$28.18	$45.71	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $54.95	Professional		$22.39	$39.81	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $53.70	Professional		$14.45	$28.84	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $43.65	Professional		$26.30	$30.90	$43.65