Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $177.83	Professional		$43.65	$67.61	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $223.87	Professional		$74.13	$125.89	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $186.21	Professional		$66.07	$109.65	$186.21
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 $67.61 / $120.23 / $194.98	Professional		$67.61	$120.23	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $177.83	Professional		$72.44	$112.20	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $190.55	Professional		$61.66	$95.50	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $107.15	Professional		$43.65	$75.86	$107.15