Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.78 / $85.11	Facility		$11.22	$17.78	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $35.48	Professional		$7.41	$9.33	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.59 / $19.95	Professional		$7.24	$12.59	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $26.30	Professional		$8.91	$13.49	$26.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.23 / $18.20	Facility		$7.76	$10.23	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $18.20	Professional		$7.76	$10.72	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.85 / $16.22	Facility		$12.88	$15.85	$16.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $23.44	Professional		$10.96	$16.22	$23.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $21.38	Professional		$10.96	$15.14	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $22.91	Professional		$8.71	$12.59	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.12 / $16.22	Professional		$8.51	$9.12	$16.22