Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $109.65 / $398.11	Professional		$38.02	$109.65	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $977.24	Professional		$251.19	$467.74	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $512.86	Professional		$72.44	$109.65	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $660.69	Professional		$213.80	$426.58	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $575.44	Professional		$89.13	$199.53	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $549.54	Professional		$46.77	$67.61	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $489.78	Professional		$257.04	$302.00	$489.78