Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $389.05 / $1,148.15	Facility		$79.43	$389.05	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $102.33	Professional		$61.66	$74.13	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $190.55 / $223.87	Facility		$89.13	$190.55	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $181.97	Facility		$102.33	$125.89	$181.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $257.04	Facility		$85.11	$177.83	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $123.03	Professional		$77.62	$77.62	$123.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $316.23	Facility		$120.23	$169.82	$316.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $114.82	Professional		$85.11	$102.33	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $138.04	Facility		$114.82	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $109.65	Professional		$36.31	$39.81	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $204.17	Professional		$51.29	$51.29	$204.17