Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $223.87 / $912.01	Facility		$15.14	$223.87	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $91.20	Professional		$10.00	$20.89	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $24.55	Professional		$14.13	$21.38	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $33.11	Professional		$11.22	$18.20	$33.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.98 / $30.20	Facility		$10.96	$16.98	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $29.51	Professional		$10.00	$16.98	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $33.11	Professional		$7.94	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $23.44	Facility		$17.78	$21.38	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.85	Facility		$14.45	$14.45	$15.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $34.67	Professional		$15.85	$22.91	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $26.92	Professional		$12.59	$16.98	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.98 / $28.18	Professional		$11.48	$16.98	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $24.55	Professional		$9.77	$14.79	$24.55