Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $269.15	Professional		$120.23	$154.88	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $389.05	Professional		$131.83	$229.09	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $338.84	Professional		$125.89	$208.93	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $363.08	Professional		$169.82	$251.19	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $323.59	Professional		$190.55	$251.19	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $331.13	Professional		$134.90	$199.53	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $288.40	Professional		$151.36	$173.78	$288.40