Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $371.54	Professional		$107.15	$151.36	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $407.38	Professional		$158.49	$251.19	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $363.08	Professional		$141.25	$251.19	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $363.08	Professional		$147.91	$263.03	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $331.13	Professional		$154.88	$223.87	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $363.08	Professional		$128.82	$190.55	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $213.80	Professional		$100.00	$151.36	$213.80