Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $43,651.58 / $72,443.60	Facility		$28,840.32	$43,651.58	$72,443.60
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $26,915.35	Facility		$22,387.21	$22,387.21	$26,915.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $36,307.81 / $57,543.99	Facility		$25,703.96	$36,307.81	$57,543.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $30,902.95 / $32,359.37	Facility		$23,988.33	$30,902.95	$32,359.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $38,904.51 / $56,234.13	Facility		$26,302.68	$38,904.51	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $39,810.72 / $54,954.09	Facility		$13,489.63	$39,810.72	$54,954.09