Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $181.97	Professional		$57.54	$75.86	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $234.42	Professional		$64.57	$114.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $181.97	Professional		$58.88	$102.33	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $57.54	Professional		$15.49	$33.11	$57.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $257.04	Professional		$109.65	$154.88	$257.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $186.21	Professional		$87.10	$123.03	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $177.83	Professional		$61.66	$93.33	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $223.87	Professional		$117.49	$138.04	$223.87