Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $43.65	Professional		$23.99	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $107.15	Professional		$22.91	$42.66	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $83.18	Professional		$26.30	$41.69	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $104.71	Professional		$47.86	$77.62	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $66.07	Professional		$31.62	$35.48	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $85.11	Professional		$27.54	$43.65	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $52.48	Professional		$37.15	$43.65	$52.48