Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $245.47	Professional		$77.62	$120.23	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $338.84	Professional		$97.72	$165.96	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $281.84	Professional		$100.00	$162.18	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $309.03	Professional		$123.03	$199.53	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $269.15	Professional		$107.15	$177.83	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $281.84	Professional		$100.00	$151.36	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $199.53	Professional		$81.28	$141.25	$199.53