Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $275.42	Professional		$97.72	$125.89	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $316.23	Professional		$109.65	$173.78	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $331.13	Professional		$100.00	$190.55	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $309.03	Professional		$144.54	$223.87	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $263.03	Professional		$144.54	$199.53	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $275.42	Professional		$100.00	$147.91	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $169.82	Professional		$89.13	$102.33	$169.82