Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $724.44	Professional		$208.93	$316.23	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $912.01	Professional		$239.88	$446.68	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $724.44	Professional		$245.47	$436.52	$724.44
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 $316.23 / $537.03 / $776.25	Professional		$316.23	$537.03	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $724.44	Professional		$295.12	$478.63	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $794.33	Professional		$269.15	$426.58	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $436.52	Professional		$208.93	$316.23	$436.52