Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $281.84	Professional		$81.28	$123.03	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $316.23	Professional		$117.49	$177.83	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $316.23	Professional		$138.04	$213.80	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $309.03	Professional		$128.82	$218.78	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $263.03	Professional		$123.03	$181.97	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $316.23	Professional		$117.49	$162.18	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $173.78	Professional		$77.62	$123.03	$173.78