Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $524.81 / $1,412.54	Professional		$81.28	$524.81	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $1,905.46	Professional		$128.82	$275.42	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $977.24 / $2,187.76	Professional		$128.82	$977.24	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $1,737.80	Professional		$112.20	$281.84	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $707.95 / $1,584.89	Professional		$123.03	$707.95	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $660.69 / $1,737.80	Professional		$107.15	$660.69	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $954.99	Professional		$70.79	$134.90	$954.99