Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $107.15	Facility		$45.71	$85.11	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $104.71	Professional		$32.36	$39.81	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $66.07	Professional		$20.89	$25.12	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $104.71	Professional		$44.67	$70.79	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $75.86	Professional		$20.89	$25.70	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $83.18	Facility		$60.26	$79.43	$83.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $56.23	Facility		$52.48	$56.23	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $114.82	Professional		$52.48	$77.62	$114.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $97.72	Professional		$51.29	$67.61	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $114.82	Professional		$46.77	$64.57	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $81.28	Professional		$42.66	$45.71	$81.28