Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $239.88 / $446.68	Professional		$77.62	$239.88	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $851.14	Professional		$141.25	$288.40	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $346.74 / $741.31	Professional		$147.91	$346.74	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.90	Professional		$32.36	$33.11	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $776.25	Professional		$125.89	$309.03	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $724.44	Professional		$134.90	$295.12	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $323.59 / $741.31	Professional		$120.23	$323.59	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $501.19	Professional		$79.43	$151.36	$501.19