Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $302.00	Professional		$93.33	$134.90	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $389.05	Professional		$144.54	$234.42	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $331.13	Professional		$125.89	$223.87	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $346.74	Professional		$131.83	$239.88	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $316.23	Professional		$128.82	$208.93	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $346.74	Professional		$114.82	$177.83	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $204.17	Professional		$89.13	$144.54	$204.17