Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $630.96	Professional		$177.83	$263.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $707.95	Professional		$251.19	$398.11	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $691.83	Professional		$269.15	$436.52	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $691.83	Professional		$269.15	$467.74	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $588.84	Professional		$269.15	$389.05	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $707.95	Professional		$251.19	$363.08	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $389.05	Professional		$165.96	$281.84	$389.05