Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $24,547.09	Facility		$38.90	$74.13	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $77.62	Professional		$34.67	$37.15	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $35.48 / $79.43	Facility		$33.11	$35.48	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $43.65	Professional		$35.48	$35.48	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $83.18	Facility		$33.88	$42.66	$83.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $61.66 / $134.90	Facility		$40.74	$61.66	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $43.65	Professional		$36.31	$43.65	$43.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $154.88	Facility		$35.48	$70.79	$154.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $45.71	Professional		$35.48	$35.48	$45.71