Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $707.95	Professional		$123.03	$181.97	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $380.19	Professional		$138.04	$239.88	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $338.84	Professional		$134.90	$218.78	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $363.08	Professional		$173.78	$257.04	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $331.13	Professional		$181.97	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $331.13	Professional		$131.83	$208.93	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $263.03	Professional		$138.04	$162.18	$263.03