Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,584.89 / $3,630.78	Professional		$741.31	$1,584.89	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,995.26 / $4,466.84	Professional		$851.14	$1,995.26	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $4,570.88	Professional		$1,047.13	$2,187.76	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $4,073.80	Professional		$1,047.13	$2,238.72	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,995.26 / $3,890.45	Professional		$1,000.00	$1,995.26	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,905.46 / $3,890.45	Professional		$933.25	$1,905.46	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $2,398.83	Professional		$676.08	$1,288.25	$2,398.83