Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $2,884.03	Facility		$41.69	$63.10	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $48.98	Professional		$38.90	$40.74	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $102.33	Facility		$41.69	$41.69	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
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 $36.31 / $52.48 / $72.44	Facility		$36.31	$52.48	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $117.49	Facility		$36.31	$48.98	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $44.67	Professional		$38.02	$41.69	$44.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $123.03	Facility		$41.69	$51.29	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69