Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,122.02	Professional		$363.08	$524.81	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,230.27	Professional		$549.54	$812.83	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,513.56	Professional		$501.19	$870.96	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,202.26	Professional		$501.19	$851.14	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,096.48	Professional		$512.86	$741.31	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,202.26	Professional		$436.52	$660.69	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $645.65	Professional		$338.84	$478.63	$645.65