Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,819.70	Professional		$602.56	$831.76	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,174.90 / $2,344.23	Professional		$645.65	$1,174.90	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $3,090.30	Professional		$724.44	$1,230.27	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $1,949.84	Professional		$891.25	$1,479.11	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,905.46	Professional		$891.25	$1,288.25	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,949.84	Professional		$724.44	$1,023.29	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,096.48	Professional		$575.44	$794.33	$1,096.48