Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.02 / $52.48	Facility		$20.42	$38.02	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.72 / $30.20	Professional		$7.08	$10.72	$30.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.59 / $12.59 / $18.62	Professional	25	$12.59	$12.59	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.38 / $53.70	Professional		$9.77	$17.38	$53.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.30 / $42.66	Facility		$7.76	$12.30	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.30 / $40.74	Professional		$7.76	$12.30	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.88 / $41.69	Facility		$14.13	$33.88	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $53.70	Professional		$17.38	$30.20	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $46.77	Professional		$13.80	$19.05	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $30.90	Professional		$9.33	$15.14	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $45.71	Professional		$21.88	$28.18	$45.71