Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $602.56	Professional		$114.82	$234.42	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $602.56	Professional		$144.54	$295.12	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $602.56	Professional		$181.97	$316.23	$602.56
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 $158.49 / $309.03 / $549.54	Professional		$158.49	$309.03	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $478.63	Professional		$154.88	$288.40	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $602.56	Professional		$144.54	$295.12	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $257.04	Professional		$77.62	$147.91	$257.04