Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $245.47 / $7,943.28	Facility		$52.48	$245.47	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $234.42	Professional		$29.51	$66.07	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $120.23	Professional		$45.71	$61.66	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $147.91	Professional		$37.15	$72.44	$147.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $79.43 / $181.97	Facility		$44.67	$79.43	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $144.54	Professional		$47.86	$75.86	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $114.82	Facility		$63.10	$104.71	$114.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $79.43 / $141.25	Professional		$40.74	$79.43	$141.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Facility		$371.54	$562.34	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $114.82	Professional		$39.81	$74.13	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,862.09	Facility		$501.19	$741.31	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $138.04	Professional		$37.15	$69.18	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $83.18	Professional		$23.99	$45.71	$83.18