Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $56.23 / $151.36	Facility		$35.48	$56.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $117.49	Professional		$16.98	$23.99	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $57.54 / $83.18	Facility		$26.92	$57.54	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $38.02	Professional		$16.22	$28.84	$38.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $74.13	Facility		$26.30	$36.31	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $79.43	Professional		$26.30	$37.15	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $75.86	Professional		$22.91	$27.54	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $54.95	Facility		$26.30	$26.30	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $77.62	Facility		$26.30	$45.71	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $31.62	Professional		$23.44	$23.44	$31.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $38.90 / $72.44	Facility		$27.54	$38.90	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $29.51	Professional		$22.39	$23.44	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $31.62	Facility		$26.30	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $31.62	Professional		$10.96	$15.14	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.30 / $46.77	Professional		$11.75	$26.30	$46.77