Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $58.88 / $91.20	Professional		$15.85	$58.88	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $85.11	Professional		$27.54	$44.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $54.95	Professional		$16.98	$28.84	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $102.33	Professional		$26.30	$56.23	$102.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $79.43	Professional		$21.88	$40.74	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $100.00	Professional		$25.12	$50.12	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $81.28	Professional		$42.66	$47.86	$81.28