Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $389.05	Professional		$28.18	$61.66	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $63.10	Professional		$25.12	$33.88	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $85.11	Professional		$30.20	$51.29	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $74.13	Professional		$27.54	$46.77	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $33.11	Professional		$17.38	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $77.62	Professional		$38.02	$56.23	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $70.79	Professional		$39.81	$54.95	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $72.44	Professional		$28.18	$44.67	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $56.23	Professional		$29.51	$33.11	$56.23