Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $257.04	Professional		$79.43	$123.03	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $363.08	Professional		$97.72	$190.55	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $316.23	Professional		$112.20	$181.97	$316.23
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 $162.18 / $251.19 / $346.74	Professional		$162.18	$251.19	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $302.00	Professional		$141.25	$204.17	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $331.13	Professional		$107.15	$141.25	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $229.09	Professional		$120.23	$138.04	$229.09