Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $23,988.33 / $39,810.72	Facility		$15,848.93	$23,988.33	$39,810.72
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $25,118.86	Facility		$10,000.00	$10,000.00	$25,118.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $19,054.61	Facility		$11,748.98	$14,791.08	$19,054.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $19,054.61 / $30,199.52	Facility		$12,589.25	$19,054.61	$30,199.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $21,379.62 / $30,199.52	Facility		$7,413.10	$21,379.62	$30,199.52