Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $389.05	Professional		$67.61	$114.82	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $194.98	Professional		$87.10	$95.50	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $173.78	Professional		$85.11	$144.54	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $165.96	Professional		$93.33	$125.89	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $177.83	Professional		$67.61	$97.72	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $131.83	Professional		$81.28	$95.50	$131.83