Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $323.59	Facility		$100.00	$144.54	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $302.00	Professional		$91.20	$112.20	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $104.71	Professional		$38.02	$72.44	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $316.23	Facility		$107.15	$107.15	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $50.12 / $234.42	Professional		$2.69	$50.12	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $85.11	Facility		$70.79	$85.11	$85.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $114.82	Professional		$91.20	$114.82	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $117.49	Professional		$95.50	$109.65	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33