Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $70.79 / $229.09	Facility		$36.31	$70.79	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $104.71	Professional		$20.89	$30.20	$104.71
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $77.62 / $87.10 / $204.17	Professional	CQ	$77.62	$87.10	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $117.49	Facility		$89.13	$107.15	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $91.20	Professional		$24.55	$40.74	$91.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $102.33	Facility		$36.31	$52.48	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $91.20	Professional		$34.67	$50.12	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $81.28	Facility		$56.23	$74.13	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $102.33	Facility		$46.77	$70.79	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $93.33	Professional		$37.15	$66.07	$93.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $54.95 / $104.71	Facility		$45.71	$54.95	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $51.29	Professional		$35.48	$38.02	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $91.20	Professional		$33.11	$39.81	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $72.44	Professional		$38.02	$42.66	$72.44