Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $77.62	Facility		$32.36	$32.36	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $218.78	Professional		$21.88	$30.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50.12 / $52.48	Facility		$48.98	$50.12	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $44.67 / $95.50	Facility		$41.69	$44.67	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $57.54	Professional		$41.69	$41.69	$57.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $44.67	Professional		$21.88	$36.31	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $398.11	Professional		$43.65	$77.62	$398.11