Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $9,332.54	Facility		$45.71	$91.20	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $8,511.38	Professional		$44.67	$60.26	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $79.43	Facility		$42.66	$42.66	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $56.23	Professional		$45.71	$45.71	$56.23
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 $44.67 / $48.98 / $85.11	Facility		$44.67	$48.98	$85.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $47.86 / $109.65	Facility		$33.88	$47.86	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $47.86	Professional		$39.81	$47.86	$47.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $50.12 / $85.11	Facility		$31.62	$50.12	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $58.88	Professional		$45.71	$45.71	$58.88