Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $25.12 / $87.10	Facility		$10.96	$25.12	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $46.77	Professional		$7.94	$12.88	$46.77
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $10.23 / $22.39 / $42.66	Professional	CQ	$10.23	$22.39	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.13	Professional		$10.00	$10.00	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $151.36	Facility		$89.13	$107.15	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $35.48	Professional		$10.96	$15.49	$35.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.95 / $39.81	Facility		$14.45	$19.95	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $33.11	Professional		$13.18	$19.50	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $32.36 / $33.11	Professional		$9.55	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.18 / $30.90	Facility		$22.39	$28.18	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $38.02	Facility		$18.20	$26.92	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $36.31	Professional		$14.13	$25.12	$36.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $39.81	Facility		$17.38	$20.89	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $19.50	Professional		$13.80	$14.45	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $35.48	Professional		$13.18	$15.49	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $28.18	Professional		$14.79	$16.22	$28.18