Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $6,918.31	Professional		$870.96	$1,584.89	$6,918.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $3,090.30	Professional		$741.31	$1,071.52	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $3,388.44	Professional		$1,479.11	$2,570.40	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,818.38	Professional		$1,348.96	$2,238.72	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,884.03	Professional		$1,380.38	$2,137.96	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,884.03	Professional		$1,202.26	$1,659.59	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84