Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $79.43	Professional		$30.20	$40.74	$79.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.48 / $40.74 / $77.62	Professional	52	$35.48	$40.74	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $102.33	Professional		$40.74	$61.66	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $138.04	Professional		$27.54	$52.48	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $104.71	Professional		$32.36	$51.29	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.11	Professional		$31.62	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $138.04	Professional		$61.66	$100.00	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $85.11	Professional		$38.90	$46.77	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $107.15	Professional		$33.11	$54.95	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $69.18	Professional		$48.98	$56.23	$69.18