Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $323.59	Facility		$141.25	$234.42	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $575.44	Professional		$162.18	$199.53	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $208.93	Professional		$123.03	$123.03	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $549.54	Facility		$213.80	$213.80	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $50.12 / $457.09	Professional		$2.69	$50.12	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $125.89	Facility		$102.33	$123.03	$125.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $218.78	Professional		$177.83	$218.78	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $229.09	Professional		$190.55	$218.78	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83