Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $53.70	Professional		$12.02	$16.98	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $54.95	Professional		$14.79	$21.88	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $48.98	Professional		$19.95	$33.88	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $33.11	Professional		$15.49	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $51.29	Professional		$19.50	$34.67	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $26.92	Professional		$19.05	$19.95	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $48.98	Professional		$17.78	$21.38	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $37.15	Professional		$19.50	$21.88	$37.15