Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $63.10	Professional		$20.89	$34.67	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $97.72	Professional		$29.51	$51.29	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $77.62	Professional		$21.88	$37.15	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $33.11	Professional		$12.30	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $93.33	Professional		$31.62	$56.23	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $83.18	Professional		$30.20	$51.29	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $95.50	Professional		$29.51	$51.29	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $74.13	Professional		$38.90	$43.65	$74.13