Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $95.50	Professional		$45.71	$67.61	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $229.09	Professional		$41.69	$85.11	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $91.20 / $181.97	Professional		$42.66	$91.20	$181.97
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 $102.33 / $173.78 / $213.80	Professional		$102.33	$173.78	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $147.91	Professional		$69.18	$77.62	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $181.97	Professional		$50.12	$95.50	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $109.65	Professional		$77.62	$89.13	$109.65