Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $70.79	Professional		$44.67	$50.12	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $36.31	Professional		$23.44	$27.54	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $91.20 / $234.42	Professional		$12.59	$91.20	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18