Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,122.02	Professional		$537.03	$691.83	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,659.59	Professional		$660.69	$1,000.00	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,412.54	Professional		$549.54	$851.14	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,479.11	Professional		$707.95	$1,096.48	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,230.27	Professional		$537.03	$691.83	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,659.59	Professional		$602.56	$977.24	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,023.29	Professional		$537.03	$616.60	$1,023.29