Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $371.54	Professional		$114.82	$158.49	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $398.11	Professional		$177.83	$257.04	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $346.74	Professional		$138.04	$257.04	$346.74
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 $158.49 / $275.42 / $380.19	Professional		$158.49	$275.42	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $331.13	Professional		$165.96	$239.88	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $380.19	Professional		$144.54	$208.93	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $213.80	Professional		$104.71	$151.36	$213.80