Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $281.84	Professional		$112.20	$134.90	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $380.19	Professional		$125.89	$204.17	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $302.00	Professional		$112.20	$165.96	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $354.81	Professional		$169.82	$239.88	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $316.23	Professional		$144.54	$194.98	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $323.59	Professional		$117.49	$190.55	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $239.88	Professional		$125.89	$138.04	$239.88