Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $257.04	Professional		$51.29	$97.72	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $213.80	Professional		$72.44	$77.62	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $288.40	Professional		$95.50	$173.78	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $234.42	Professional		$85.11	$177.83	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $54.95	Professional		$32.36	$33.11	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $269.15	Professional		$123.03	$190.55	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $239.88	Professional		$112.20	$173.78	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $223.87	Professional		$64.57	$104.71	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $181.97	Professional		$95.50	$128.82	$181.97