Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $61.66 / $141.25	Professional		$14.13	$61.66	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $70.79 / $218.78	Professional		$17.78	$70.79	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $75.86 / $181.97	Professional		$18.62	$75.86	$181.97
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 $21.88 / $51.29 / $204.17	Professional		$21.88	$51.29	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $83.18 / $181.97	Professional		$21.38	$83.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $67.61 / $190.55	Professional		$19.50	$67.61	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $109.65	Professional		$13.49	$25.70	$109.65