Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Facility		$234.42	$234.42	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $371.54	Professional		$107.15	$138.04	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $389.05	Professional		$138.04	$218.78	$389.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $331.13	Facility		$125.89	$199.53	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $316.23	Professional		$123.03	$194.98	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $263.03	Facility		$213.80	$257.04	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $371.54	Professional		$169.82	$275.42	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $338.84	Professional		$181.97	$251.19	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $316.23	Professional		$131.83	$190.55	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $223.87	Professional		$117.49	$123.03	$223.87