Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $562.34	Professional		$93.33	$128.82	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $302.00	Professional		$104.71	$186.21	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $263.03	Professional		$100.00	$162.18	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $281.84	Professional		$138.04	$204.17	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $257.04	Professional		$144.54	$199.53	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $208.93	Professional		$109.65	$125.89	$208.93