Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $100.00 / $354.81	Facility		$33.11	$100.00	$354.81
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $64.57 / $112.20 / $338.84	Facility	CQ	$64.57	$112.20	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $288.40	Professional		$19.95	$41.69	$288.40
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $51.29 / $158.49 / $158.49	Professional	CO	$51.29	$158.49	$158.49
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.70 / $48.98 / $93.33	Professional	CQ	$25.70	$48.98	$93.33
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $25.12 / $25.12 / $46.77	Professional	CQ	$25.12	$25.12	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $117.49	Facility		$89.13	$107.15	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $83.18	Professional		$21.38	$35.48	$83.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $89.13	Facility		$30.90	$41.69	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $81.28	Professional		$30.90	$41.69	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $33.11	Professional		$21.38	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $67.61	Facility		$46.77	$64.57	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $93.33	Facility		$42.66	$66.07	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $85.11	Professional		$33.88	$60.26	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $95.50	Facility		$41.69	$50.12	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $47.86	Professional		$29.51	$34.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $81.28	Professional		$30.20	$36.31	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $64.57	Professional		$33.88	$37.15	$64.57