Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $173.78 / $407.38	Professional		$38.02	$173.78	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,000.00	Professional		$257.04	$489.78	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $537.03	Professional		$74.13	$112.20	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $691.83	Professional		$218.78	$446.68	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $602.56	Professional		$89.13	$208.93	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $588.84	Professional		$46.77	$67.61	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $501.19	Professional		$269.15	$309.03	$501.19