Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $323.59	Professional		$114.82	$158.49	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $446.68	Professional		$151.36	$257.04	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $323.59	Professional		$162.18	$223.87	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $371.54	Professional		$169.82	$257.04	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $354.81	Professional		$165.96	$239.88	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $380.19	Professional		$151.36	$239.88	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $269.15	Professional		$141.25	$162.18	$269.15