Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $194.98	Professional		$35.48	$48.98	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $128.82	Professional		$38.02	$64.57	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $104.71	Professional		$35.48	$66.07	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $33.11	Professional		$28.84	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $125.89	Professional		$57.54	$87.10	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $100.00	Professional		$52.48	$69.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $89.13	Professional		$35.48	$52.48	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Professional		$50.12	$57.54	$93.33