Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $60.26 / $181.97	Facility		$32.36	$60.26	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $34.67 / $117.49	Professional		$18.20	$34.67	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $35.48	Professional		$18.20	$26.30	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $63.10	Professional		$22.91	$36.31	$63.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $44.67	Facility		$24.55	$31.62	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $46.77	Professional		$23.44	$31.62	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $32.36 / $33.11	Professional		$11.48	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $36.31 / $51.29	Facility		$29.51	$36.31	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $52.48	Professional		$24.55	$38.02	$52.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $53.70	Professional		$25.12	$34.67	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $61.66	Professional		$24.55	$38.02	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $34.67	Professional		$18.20	$19.50	$34.67