Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $363.08	Professional		$64.57	$100.00	$363.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	52	$57.54	$57.54	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $162.18	Professional		$56.23	$125.89	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $245.47	Professional		$77.62	$134.90	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $169.82	Professional		$75.86	$107.15	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Professional		$32.36	$33.11	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $213.80	Professional		$97.72	$147.91	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $190.55	Professional		$95.50	$134.90	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $194.98	Professional		$77.62	$120.23	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $144.54	Professional		$75.86	$85.11	$144.54