Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $77.62 / $245.47	Facility		$32.36	$77.62	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $33.11	Professional		$10.00	$26.92	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $69.18 / $89.13	Facility		$19.50	$69.18	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $60.26	Facility		$30.90	$38.02	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $60.26 / $102.33	Facility		$33.88	$60.26	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $40.74	Professional		$30.90	$30.90	$40.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $93.33	Facility		$36.31	$51.29	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $33.88	Professional		$25.70	$30.90	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $40.74	Facility		$33.88	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $33.88	Professional		$14.45	$14.79	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $61.66	Professional		$15.49	$15.49	$61.66