Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $549.54	Professional		$131.83	$194.98	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $426.58	Professional		$134.90	$229.09	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $389.05	Professional		$165.96	$251.19	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $380.19	Professional		$186.21	$288.40	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $346.74	Professional		$169.82	$251.19	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $389.05	Professional		$128.82	$186.21	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $257.04	Professional		$134.90	$154.88	$257.04