Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $616.60	Professional		$234.42	$295.12	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $831.76	Professional		$245.47	$426.58	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $616.60	Professional		$190.55	$302.00	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $131.83	Professional		$19.95	$33.11	$131.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $741.31	Professional		$371.54	$575.44	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $691.83	Professional		$331.13	$501.19	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $707.95	Professional		$251.19	$380.19	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $489.78	Professional		$257.04	$295.12	$489.78