Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $602.56	Professional		$128.82	$245.47	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $707.95	Professional		$213.80	$380.19	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $616.60	Professional		$194.98	$331.13	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $630.96	Professional		$186.21	$346.74	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $588.84	Professional		$199.53	$346.74	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $616.60	Professional		$165.96	$302.00	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $363.08	Professional		$123.03	$229.09	$363.08